MEDICARE: GABRIELA TEMNEANU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician		IL

General Provider Information

NPI Number	:	1407910516
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIELA TEMNEANU

Provider Business Mailing Address
First Line	:	295 HIGHLAND AVE
Second Line	:
City	:	WHEELING
State	:	IL
Zip	:	60090-5056
Country	:	US
Telephone Number	:	847-541-5658
Fax Number	:

Provider Business Practice Location Address
First Line	:	1127 N OAKLEY BLVD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-3507
Country	:	US
Telephone Number	:	312-770-2040
Fax Number	:	312-770-3270

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/21/2006
Last Update Date	:	07/08/2007

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Directions to “ GABRIELA TEMNEANU ” Practice Location

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