Individual
JONATHAN D GERBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
9000 WAUKEGAN RD STE 200, MORTON GROVE, IL 60053-2127
(847) 375-3000
Mailing address
1318 W WINNEMAC AVE # B, CHICAGO, IL 60640-7893
(260) 580-3886
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
2935
TN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000050798
BOARD OF CERTIFICATION FOR THE ATHLETIC TRAINER
—
Enumeration date
08/20/2021
Last updated
03/30/2023
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