Individual
MENG GAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2520 ELISHA AVENUE, ZION, IL 60099
(800) 322-9183
(319) 272-2807
Mailing address
2361 PAYSPHERE CIRCLE, CHICAGO, IL 60067
(800) 322-9183
(319) 272-2807
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD-50129
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2017
Last updated
08/01/2024
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