Individual
MS. VANESSA LOUISE GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, DABR, DABSNM
Contact information
Practice address
251 E HURON ST, GALTER PAVILION 8-118, CHICAGO, IL 60611
(312) 926-3138
Mailing address
401 E ONTARIO ST APT 1010, CHICAGO, IL 60611-7167
(312) 520-2893
Taxonomy
Speciality
Code
Description
License number
State
2085R0205X
Radiological Physics Physician
Primary
IL-01037-02
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P2367
AMERICAN BOARD OF RADIOLOGY - MEDICAL PHYSICS CERTIFICATE
—
Enumeration date
01/08/2018
Last updated
01/08/2018
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