Individual provider · Type 1 NPI

Matthew Elmo Garcia Gayoso, MD

Student in an Organized Health Care Education/Training Program · Maywood, IL

NPI number 1245923085 Active

Practice location

2160 S 1st Ave
Maywood, IL 60153-3328

Mailing address

31 E Ogden Ave Unit 536
La Grange, IL 60525-2184

Other practice locations

  • 1161 21st Ave S, Nashville, TN 37232-0011 · (901) 359-0634

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1245923085

Matthew Elmo Garcia Gayoso, MD's National Provider Identifier is 1245923085, issued on May 29, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Maywood, IL. The record was last updated on Jun 9, 2026.