Healthcare Provider Details

I. General information

NPI: 1003674235
Provider Name (Legal Business Name): CHRISTOPHER GELAJ
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2024
Last Update Date: 03/20/2024
Certification Date: 03/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4900 LINTON BLVD STE 3
DELRAY BEACH FL
33445-6689
US

IV. Provider business mailing address

750 N COMMONS DR STE 200
AURORA IL
60504-7940
US

V. Phone/Fax

Practice location:
  • Phone: 561-507-4392
  • Fax:
Mailing address:
  • Phone: 630-303-5380
  • Fax: 630-303-5385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberAS5782
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: