Search › Illinois › 207Q00000X
Jamie Gancayco, MD
NPI 1669470431 · on the registry since 2005
Practice
- Address
- 781 S Mchenry Ave
Crystal Lake, IL 60014 - Phone
- (815) 459-2200
- Fax
- (815) 788-9263
- Organisation at this address
- Tru Dental Illinois, P.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207P00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-12-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois