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Individual

GREGORY G GEBHART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
100 N LA SALLE ST, SUITE 812, CHICAGO, IL 60602-2448
(312) 479-2298
Mailing address
100 N LA SALLE ST, SUITE 812, CHICAGO, IL 60602-2448
(312) 479-2298

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1633792
BLUE CROSS BLUE SHIELD
IL
01
658740
AMERICAN CHIROPRACTIC NET
IL
Enumeration date
10/25/2006
Last updated
07/08/2007
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