Individual
GERALD H CERNIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 E MAIN ST STE 101, MAHOMET, IL 61853-7460
(913) 359-6001
(913) 359-5552
Mailing address
601 E MAIN ST STE 101, MAHOMET, IL 61853-7460
(913) 359-6001
(913) 359-5552
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036043379
IL
207P00000X
Emergency Medicine Physician
036043379
IL
208600000X
Surgery Physician
036043379
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036043379
LICENSE
IL
Enumeration date
08/11/2006
Last updated
02/08/2022
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