Individual
DR. GERARD L. DYSICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15900 SOUTH CICERO AVENUE, DEPARTMENT OF REHABILITATION SERVICES, OAK FOREST, IL 60452-4006
(708) 633-3091
(708) 633-2006
Mailing address
15900 SOUTH CICERO AVENUE, DEPARTMENT OF REHABILITATION SERVICES, OAK FOREST, IL 60452-4006
(708) 633-3091
(708) 633-2006
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036.117792
IL
Other
Enumeration date
06/26/2007
Last updated
04/23/2021
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