Individual
DR. STEPHEN RYAN GORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1750 W HARRISON ST STE 108, CHICAGO, IL 60612-3825
(312) 942-5110
Mailing address
2808 PARKWAY CT, GALESBURG, IL 61401-1154
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036.136626
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2012
Last updated
03/17/2018
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