Individual
DR. GRIGORY E GERSHKOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5841 S MARYLAND AVE # MC3079, CHICAGO, IL 60637-1447
(773) 834-1634
(773) 702-4384
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
C1-0024073
DE
207XS0106X
Orthopaedic Hand Surgery Physician
125069742
IL
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
C1-0024073
DE
Other
Enumeration date
06/07/2012
Last updated
11/08/2021
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