Provider Demographics
NPI:1669407912
Name:GAGERMEIER, JAMES P (MD)
Entity type:Individual
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First Name:JAMES
Middle Name:P
Last Name:GAGERMEIER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2160 S FIRST AVE
Mailing Address - Street 2:(17W740 22ND STREET, OAKBROOK TERRACE, IL. 60181)
Mailing Address - City:MAYWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60153
Mailing Address - Country:US
Mailing Address - Phone:630-627-7399
Mailing Address - Fax:630-627-7079
Practice Address - Street 1:2160 S FIRST AVE
Practice Address - Street 2:(17W740 22ND STREET, OAKBROOK TERRACE, IL. 60181)
Practice Address - City:MAYWOOD
Practice Address - State:IL
Practice Address - Zip Code:60153
Practice Address - Country:US
Practice Address - Phone:630-627-7399
Practice Address - Fax:630-627-7079
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2022-05-17
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Provider Licenses
StateLicense IDTaxonomies
IL036106833207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease