Individual
DR. STEPHEN ROBERT GAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5841 S MARYLAND AVE # 1145, CHICAGO, IL 60637-1443
(773) 702-1000
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
C7-0006775
DE
2080P0203X
Pediatric Critical Care Medicine Physician
036.155466
IL
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
332341
NY
Other
Enumeration date
03/19/2018
Last updated
09/11/2024
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