GREGORY ALLEN GERGANS


Address: 2221 Grant St, Evanston, IL 60201-2503
Phone: 7737323289

GREGORY ALLEN GERGANS (NPI# 1194796409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194796409
Entity Type Individual
Full Name GREGORY ALLEN GERGANS
Credential M.D.
Practice Address 2221 Grant St
Evanston
IL 60201-2503
Practice Telephone 7737323289
Mailing Telephone 7737323289
Enumeration Date 2006-01-27
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice IL Allopathic & Osteopathic Physicians

Office Location

Street Address 2221 GRANT ST
City EVANSTON
State IL
Zip Code 60201-2503

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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1225423841 Sheena Mbachu General Practice 2650 Ridge Ave, Evanston, IL 60201-1700 2015-03-31
1386918092 Resurrection Services General Practice 2500 Ridge Ave, Suite 210, Evanston, IL 60201-2455 2012-02-27
1962776856 Resurrection Services General Practice 800 Austin St, Suite 501 West Tower, Evanston, IL 60202-3439 2012-02-24
1851660393 Edward Fx Hughes General Practice 810 Lincoln St, Evanston, IL 60201-2405 2011-12-28
1316011562 State of Wyoming General Practice 831 State Highway 150 S, Evanston, WY 82930-5340 2006-11-20

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1306311725 Genesis Integrative Medicine LLC General Practice 1881 S Randall Rd Ste C, Geneva, IL 60134-2532 2018-10-11
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Competitor

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City EVANSTON
Zip Code 60201

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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