Gan, Stephen Robert
Gan, Stephen Robert is an sole proprietor health care provider with primary practice located at 5841 S Maryland Ave # 1145 , Chicago IL 60637-1443. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Gan, Stephen Robert can be contacted via phone (773) 702-1000.Contact Information
Primary practice address
5841 S Maryland Ave # 1145
Chicago IL 60637-1443
Phone: (773) 702-1000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | C7-0006775 | Delaware |
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 036.155466 | Illinois |
Profile Details
NPI number | 1811491525 |
---|---|
LBN Legal business name | Gan, Stephen Robert |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 19th, 2018 |
Last updated | Jun 29th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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