Individual
MR. GREG GAFFUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
2150 W HARRISON ST, CHICAGO, IL 60612-3706
(312) 942-5375
Mailing address
2150 W HARRISON ST, CHICAGO, IL 60612-3706
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209015564
IL
Other
Enumeration date
06/12/2017
Last updated
12/15/2020
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