Individual provider · Type 1 NPI

John D. Gnezda

Surgical Physician Assistant · Chicago, IL

NPI number 1295722296 Active

Practice location

5841 S Maryland Ave
Chicago, IL 60637-1443

Mailing address

150 Harvester Dr, Suite 300
Burr Ridge, IL 60527-5919

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X085000608 (IL)

Surgical Physician Assistant: Definition to come...

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About NPI 1295722296

John D. Gnezda's National Provider Identifier is 1295722296, issued on Oct 4, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Chicago, IL. The record was last updated on Oct 24, 2022.