Individual
EVAN JOSEPH GIBSON-O'GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7531 S STONY ISLAND AVE, CHICAGO, IL 60649-3993
(773) 947-7500
Mailing address
7531 S STONY ISLAND AVE, CHICAGO, IL 60649-3993
(773) 947-7500
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036.161099
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/15/2019
Last updated
10/19/2022
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