David G Gamboa

Pediatric Cardiology | Male

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Complete Profile:

David G Gamboa basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics, Pediatric Cardiology
Provider Name :	David G Gamboa
Gender :	Male

Business Address:

David G Gamboa address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	5841 S Maryland Ave Chicago, IL, 60637-1443 United States
Phone Number :	888-824-0200

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1942414875
NPI Entity Type :	Individual
First Enrolment Date :	10 May, 2007
Last Updated On :	24 Oct, 2022

Medicare Participation:

David G Gamboa participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	6204079635
Medicare Enrollment ID :	I20170818003172
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	2004
Accepts Medicare?	Yes. David G Gamboa accepts medicare insurance.

Group Practice Association:

David G Gamboa is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which David G Gamboa is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Advocate Health And Hospitals Corporation	7810800935	2081	4440 W 95th St Adult Medicine Oak Lawn, IL - 604532600 Ph: 7086844393	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for David G Gamboa are as mentioned. Primary taxonomy code for David G Gamboa is 2080P0202X (Pediatrics, Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics, Pediatric Cardiology	Yes	036120427	IL

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	150 Harvester Dr, Suite 300 Burr Ridge, IL, 60527-5919 United States

Business Location:

Patients can refer following map for directions to David G Gamboa practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.