Individual
MR. ANTHONY JAMES GEROULIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
330 WEST FRONTAGE RD., NORTHFIELD, IL 60093
(847) 441-4441
(847) 784-9744
Mailing address
330 WEST FRONTAGE RD., NORTHFIELD, IL 60093
(847) 441-4441
(847) 784-9744
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
036050050
IL
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
36.050050
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036050050
—
IL
Enumeration date
12/22/2006
Last updated
03/08/2016
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