Provider Demographics
NPI:1093343345
Name:GUEZ, GILAD SHALOM (MD)
Entity Type:Individual
Prefix:DR
First Name:GILAD
Middle Name:SHALOM
Last Name:GUEZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:180 HARVESTER DR STE 110
Mailing Address - Street 2:
Mailing Address - City:BURR RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60527-6686
Mailing Address - Country:US
Mailing Address - Phone:773-702-1150
Mailing Address - Fax:
Practice Address - Street 1:5841 S. MARYLAND AVE M/C 5100
Practice Address - Street 2:DEPT. OF GME ROOM J-141
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60637-1443
Practice Address - Country:US
Practice Address - Phone:773-702-3630
Practice Address - Fax:773-753-8301
Is Sole Proprietor?:No
Enumeration Date:2020-03-31
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036.165049207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology