Gayles, Travis Andre

Gayles, Travis Andre is an individual health care provider with primary practice located at 333 Madison Street , Joliet IL 60435-0000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Gayles, Travis Andre can be contacted via phone (815) 725-7133.

Contact Information

Primary practice address
333 Madison Street Joliet IL 60435-0000
Phone: (815) 725-7133
Fax: (630) 914-2469
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036131329 Illinois
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036.131329 Illinois

Profile Details

NPI number 1184850653
LBN Legal business name Gayles, Travis Andre
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2009
Last updated Apr 22nd, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184850653 NPPES
Illinois MEDICAID 036131329

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