Individual
GERARDO GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4801 W PETERSON AVE STE 506, CHICAGO, IL 60646-5795
(773) 414-9900
Mailing address
4801 W PETERSON AVE STE 506, CHICAGO, IL 60646-5795
(773) 414-9900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-006620
IL
Other
Enumeration date
01/04/2019
Last updated
06/12/2024
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