Individual
BRYAN R GAYNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
1221 N HIGHLAND AVE, AURORA, IL 60506-1404
(630) 859-8700
Mailing address
2357 SEQUOIA DR, AURORA, IL 60506-6222
(630) 859-6800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036139536
IL
207R00000X
Internal Medicine Physician
125.063439
IL
208M00000X
Hospitalist Physician
Primary
036139536
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Enumeration date
04/02/2013
Last updated
11/23/2021
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