Individual
GARY GERST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
251 NORTH ILLINOIS HIGHWAY 37, INA, IL 62846
(618) 437-5300
Mailing address
P.O. BOX 1000, 251 NORTH ILLINOIS HIGHWAY 37, INA, IL 62846
(618) 437-5300
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085.001255
IL
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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