Individual
JUSTIN GERARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1650 W HARRISON ST STE 466, CHICAGO, IL 60612-3800
(734) 308-8260
Mailing address
1650 W HARRISON ST STE 466, CHICAGO, IL 60612-3800
(734) 308-8260
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125.068998
IL
Other
Enumeration date
06/06/2016
Last updated
11/29/2020
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