Individual
DANIEL R GANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
676 N SAINT CLAIR ST FL 19, CHICAGO, IL 60611-2927
(312) 695-4837
(312) 695-7095
Mailing address
676 N SAINT CLAIR ST FL 19, CHICAGO, IL 60611-2927
(312) 695-4837
(312) 695-7095
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
036069151
IL
207RI0008X
Hepatology Physician
Primary
036069151
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036069151
—
IL
Enumeration date
02/21/2006
Last updated
06/21/2021
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