Individual
DR. GERTA S JANSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
711 11TH ST, WILMETTE, IL 60091
(847) 920-0225
Mailing address
711 11TH ST, WILMETTE, IL 60091
(847) 920-0225
(847) 920-1725
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036080132
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21604995
BLUE CROSS OF ILLINOIS
IL
Enumeration date
02/27/2006
Last updated
10/22/2007
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