Organization
GASTROENTEROLOGY SERVICES ENDOSCOPY SUITE, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID PHILIP GERARD MD (PRESIDENT)
(630) 969-1167
Entity
Organization
Contact information
Practice address
3825 HIGHLAND AVE STE 203, DOWNERS GROVE, IL 60515-1561
(630) 969-1167
(630) 969-1297
Mailing address
3825 HIGHLAND AVE STE 203, DOWNERS GROVE, IL 60515-1561
(630) 969-1167
(630) 969-1297
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
6827 782 5
IL
Other
Enumeration date
05/02/2012
Last updated
05/02/2012
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