Individual
STEPHANIE D GAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
40 S CLAY ST STE LL30E, HINSDALE, IL 60521-3257
(630) 286-5050
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036138235
IL
Other
Enumeration date
06/14/2010
Last updated
08/08/2023
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