Individual
DR. DANIEL BENJAMIN GANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(610) 477-6147
Mailing address
111 OAKWOOD RD, EAST PEORIA, IL 61611-1853
(309) 740-4272
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036146649
IL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
036-146649
IL
Other
Enumeration date
04/10/2012
Last updated
08/22/2025
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