Organization
GERIATRIC CARE SPECIALISTS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEROME DONNELLY DO (PRESIDENT)
(630) 800-5646
Entity
Organization
Contact information
Practice address
1700 ROBIN LN, LISLE, IL 60532-4155
(630) 800-5646
Mailing address
PO BOX 900, LA GRANGE, IL 60525-0900
(630) 800-5646
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
036075925
IL
Other
Enumeration date
07/21/2008
Last updated
09/04/2008
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