Jodie Gaw, DO
Family Medicine in Chicago, IL. Individual provider (NPI-1).
NPI number1891176830
StatusActive
Last updated in NPPESSep 29, 2025
Details
- NPI
- 1891176830
- Entity type
- Individual (NPI-1)
- Name
- Jodie Gaw
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 16, 2015
- Certification date
- Sep 29, 2025
- Last updated
- Sep 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 036-147081 | IL | Yes |
| 207Q00000X | Family Medicine | OS18751 | FL |
Practice location
2320 E 93rd StChicago, IL 60617-3909
Phone 773-967-2000
Mailing address
29373 Network PlChicago, IL 60673-1293
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