Individual
DR. ANTONIO GANGEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
840 S WOOD ST, CHICAGO, IL 60612-4325
(312) 355-1493
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
336087097
IL
Other
Enumeration date
06/01/2007
Last updated
05/15/2013
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