Individual
JUSTIN BRIAN GAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9650 GROSS POINT RD STE 3900, SKOKIE, IL 60076-5085
(847) 570-2503
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
(847) 570-2040
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
076047
IL
Other
Enumeration date
08/29/2008
Last updated
03/03/2021
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