Individual
DR. GERALD M. FARBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3048 W PETERSON AVE, CHICAGO, IL 60659-3720
(773) 961-3200
Mailing address
3048 W PETERSON AVE, CHICAGO, IL 60659-3720
(773) 961-3200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036052964
IL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
036052964
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36052964
—
IL
Enumeration date
08/09/2005
Last updated
03/05/2025
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