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:
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Health care specialties

SpecialtyCodeLicense #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 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154369395 NPPES
Illinois MEDICAID 036083184

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