Individual provider · Type 1 NPI

Gagan Gautam, MD, MCH

Urology Physician · Chicago, IL

NPI number 1376846907 Active

Practice location

5841 S Maryland Ave, J 664
Chicago, IL 60637-1447

Mailing address

6033 N Sheridan Rd, Apt 14 D
Chicago, IL 60660-3003

Specialties and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000X125.055629 (IL)

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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About NPI 1376846907

Gagan Gautam, MD, MCH's National Provider Identifier is 1376846907, issued on Dec 21, 2010. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Chicago, IL. The record was last updated on Dec 21, 2010.