Schaffel, Gary Edward

Schaffel, Gary Edward is an sole proprietor health care provider with primary practice located at 990 S Waukegan Rd Ste 200 , Lake Forest IL 60045-2654. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Schaffel, Gary Edward can be contacted via phone (847) 234-8100.

Contact Information

Primary practice address
990 S Waukegan Rd Ste 200 Lake Forest IL 60045-2654
Phone: (847) 234-8100
Fax: (847) 234-8199
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036093564 Illinois

Profile Details

NPI number 1336123884
LBN Legal business name Schaffel, Gary Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2005
Last updated Sep 5th, 2024 - about 2 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 1336123884 NPPES
Other 205568397 TAX IDENTIFICATION

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