Individual
TODD GERLACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4909 N GLEN PARK PLACE RD, PEORIA, IL 61614-4689
(309) 674-7546
(309) 282-0500
Mailing address
4909 N GLEN PARK PLACE RD, PEORIA, IL 61614-4689
(309) 674-7546
(309) 282-0500
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
036105582
IL
Other
Enumeration date
11/03/2006
Last updated
02/02/2021
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