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DR. LARRY TYRON GAINES M.D. NPI 1427287903


NPI Information

NPI: 1427287903
Provider Name: DR. LARRY TYRON GAINES, M.D.
Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Individual

Specialization: Neurology with Special Qualifications in Child Neurology

Address:
5841 S MARYLAND AVE
MC 3077 A304
CHICAGO, IL
ZIP 60637
Phone: (773) 702-0746
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DR. Larry Tyron Gaines, M.D. is a neurology with special qualifications in child neurology psychiatry neurology in Chicago, IL. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. DR. Larry Tyron Gaines, M.D. NPI is 1427287903. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5841 S MARYLAND AVE
MC 3077 A304
CHICAGO, IL
ZIP 60637-447
Phone: (773) 702-0746

The enumeration date for this NPI number is 7/6/2009 and was last updated on 3/15/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology036135642ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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