Individual
STEPHEN W GANSHIRT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 N WESTMORELAND RD, SUITE 205, LAKE FOREST, IL 60045-1673
(847) 234-4310
(847) 234-4336
Mailing address
800 N WESTMORELAND RD STE 100, LAKE FOREST, IL 60045-1671
(847) 234-4310
(847) 234-4336
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036-088721
IL
Other
Enumeration date
01/25/2006
Last updated
10/03/2017
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