Most Relevant Information
Provider Data
| NPI Number: | 1003006701 |
| Provider Name: | DRAGOSLAV GVOZDJAN M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 2084P0800X |
| Specialty: | Psychiatry & Neurology |
| License Number: | 01069714A |
Most Important Dates
| Enumeration Date: | 07/28/2007 |
| Last Updated: | 07/30/2013 |
Provider Practice Location
415 N 26TH ST STE 103
LAFAYETTE
IN
479042855
Practice Location Phone/Fax
| Phone: | 7654466400 |
| Fax: |
Provider Mailing Location
10S641 S GARFIELD AVE
BURR RIDGE
IL
605276317
Provider Mailing Phone/Fax
| Phone: | 7034156502 |
| Fax: |
Suggested EMR
Psychiatry EMR