Individual provider · Type 1 NPI

Ellen Gaynor, MD

Hematology & Oncology Physician · Maywood, IL

NPI number 1225015589 Active

Practice location

2160 S First Ave, Luh - North Ent., Rm. 7604
Maywood, IL 60153

Call (708) 216-3304 Map

Fax (708) 216-1259

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003X36060577 (IL)

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

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About NPI 1225015589

Ellen Gaynor, MD's National Provider Identifier is 1225015589, issued on Dec 28, 2005. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Maywood, IL. The record was last updated on Sep 15, 2009.