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Individual

DR. ERIC GAUSCHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
680 N. LAKE SHORE DRIVE, SUITE #1000, CHICAGO, IL 60611-8709
(312) 695-0665
(312) 695-0050
Mailing address
680 N. LAKE SHORE DRIVE, SUITE #1000, CHICAGO, IL 60611-8709

Taxonomy

Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
036124089
IL
2084P0800X
Psychiatry Physician
036124089
IL

Other

Enumeration date
07/26/2007
Last updated
02/23/2016
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