Organization
GERTA JANSS, MD, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERTA JANSS MD (PRESIDENT)
(847) 920-0225
Entity
Organization
Contact information
Practice address
711 11TH ST, WILMETTE, IL 60091-2662
(847) 920-0225
Mailing address
711 11TH ST, WILMETTE, IL 60091-2662
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036080132
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21604995
BLUE SHIELD OF ILLNOIS
IL
Enumeration date
09/27/2007
Last updated
03/01/2012
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