Individual
GERALD GANTT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
840 S WOOD ST STE 518E, CHICAGO, IL 60612
(312) 996-2061
Mailing address
840 S WOOD ST STE 518E, CHICAGO, IL 60612-4325
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
036143979
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036143979
—
IL
Enumeration date
05/17/2010
Last updated
08/23/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us