Organization
DEEPALI GERSHAN MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPALI GERSHAN (OWNER / PRESIDENT)
(224) 306-1879
Entity
Organization
Contact information
Practice address
60 REVERE DR, SUITE 100, NORTHBROOK, IL 60062-1563
(224) 306-1879
Mailing address
60 REVERE DR, SUITE 100, NORTHBROOK, IL 60062-1563
(224) 306-1879
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
036139934
IL
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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