Individual
DR. GERALD VINCENT STANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21505 W LAKEGREEN DR, MUNDELEIN, IL 60060-5000
(847) 837-1963
(847) 837-1963
Mailing address
21505 W LAKEGREEN DR, MUNDELEIN, IL 60060-5000
(847) 837-1963
(847) 837-1963
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
036.049847
IL
Other
Enumeration date
08/27/2010
Last updated
08/27/2010
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