Michael Gershon DO

NPI 1639379381 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1639379381
Gender Male
Enumeration Date 07/20/2007
Last Updated 10/14/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
27240 W SAXONY DR
CHANNAHON IL, 60410-1415, US
Phone (815) 521-1500
Fax (815) 467-9801
Business Location
150 W HIGH ST
MORRIS IL, 60450-1463, US
Phone (815) 942-2932
Fax (815) 942-3154
Toxanomy
Taxonomy Code 390200000X
License State Illinois
License Number 125047539
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According to our database, Michael Gershon DO NPI is 1639379381, taxonomy code is 390200000X and license number is 125047539, license state is located at Illinois. Michael Gershon DO physically located at 27240 W Saxony Dr, Channahon IL, 60410-1415. NPI Number Michael Gershon DO has the Individual type.

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1639379381 NPI number is provided on an as is basis without warranty of any kind. 1639379381 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Gershon DO are for informational purposes only.