Individual
PHILIP BENJAMIN GORELICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
259 E ERIE ST, CHICAGO, IL 60611-2987
(312) 926-6000
Mailing address
680 N. LAKE SHORE DRIVE, CHICAGO, IL 60611-2987
(312) 695-6868
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
036-056869
IL
2084V0102X
Vascular Neurology Physician
Primary
036.056869
IL
2084V0102X
Vascular Neurology Physician
4301100015
MI
Other
Enumeration date
06/19/2006
Last updated
12/22/2018
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