Gershon, Michael
Gershon, Michael is an individual health care provider with primary practice located at 350 S Waukegan Rd Ste 150 , Deerfield IL 60015-5239. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gershon, Michael can be contacted via phone (847) 475-2273.Contact Information
Primary practice address
350 S Waukegan Rd Ste 150
Deerfield IL 60015-5239
Phone: (847) 475-2273
Fax: (312) 926-2185
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036122862 | Illinois |
Profile Details
| NPI number | 1639379381 |
|---|---|
| LBN Legal business name | Gershon, Michael |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2007 |
| Last updated | Jul 31st, 2020 - about 5 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 | 1639379381 | NPPES |
| Illinois | Other | 125047539 | 125047539 |
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