Jason Thomas Gambla
Jason Thomas Gambla is an Electroneurodiagnostic Specialist/Technologist in Oak Lawn, Illinois. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
4440 W 95th StOak Lawn, IL 60453-2600
Phone: (708) 684-8000
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Specialties & licences
| Electroneurodiagnostic Specialist/Technologist (primary) | Taxonomy 246ZE0600X |
|---|
Record details
| NPI number | 1093437337 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 14, 2022 |
| Last updated in NPPES | September 14, 2022 |
| Certification date | September 14, 2022 |
| Mailing address | 7455 W Washington Ave Ste 302, Las Vegas, NV 89128-4340 |