Gerry, Donald R
Gerry, Donald R is an individual health care provider with primary practice located at 16525 106Th Ct , Orland Park IL 60467-4545. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gerry, Donald R can be contacted via phone (708) 226-6977.Contact Information
Primary practice address
16525 106Th Ct
Orland Park IL 60467-4545
Phone: (708) 226-6977
Fax: (708) 226-1372
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036083184 | Illinois |
Profile Details
NPI number | 1154369395 |
---|---|
LBN Legal business name | Gerry, Donald R |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 2nd, 2006 |
Last updated | May 1st, 2012 - about 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1154369395 | NPPES |
Illinois | MEDICAID | 036083184 |
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