GERALD GANTT JR.


Address: 840 S Wood St Ste 518e, Chicago, IL 60612
Phone: 3129962061

GERALD GANTT JR. (NPI# 1386962207) 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) 1386962207
Entity Type Individual
Full Name GERALD GANTT JR.
Practice Address 840 S Wood St Ste 518e
Chicago
IL 60612
Mailing Address 840 S Wood St Ste 518e
Chicago
IL 60612-4325
Practice Telephone 3129962061
Enumeration Date 2010-05-17
Last Update Date 2018-08-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208C00000X Colon & Rectal Surgery 036143979 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036143979 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
263 Farmington Ave, Farmington, CT 060300001 8606792000

Office Location

Street Address 840 S WOOD ST STE 518E
City CHICAGO
State IL
Zip Code 60612

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144839739 Sandhya Shri Kannayiram Internal Medicine 1901w Harrison Street, Chicago, IL 60612 2020-07-29
1568080174 Nastaran Ordoyo Haghani Rad Student in an Organized Health Care Education/Training Program 1950 W. Polk Street, Room 6203, Chicago, IL 60612 2020-07-09
1669090403 Marianne Gagnon-konamna Student in an Organized Health Care Education/Training Program 1950 West Polk Street, Chicago, IL 60612 2020-07-08
1922625672 Tanya Montgomery Nee Brown Pediatrics 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 2020-06-29
1124643028 Ashley Swan Dentist 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 2020-06-16
1831711381 Baillie Anne Bronner Obstetrics & Gynecology 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 2020-05-07
1154942449 Keisha Davell Cole Case Manager/Care Coordinator 612 S Western Ave Unit 1, Chicago, IL 60612 2020-04-28
1275153777 Isac Lim Student in an Organized Health Care Education/Training Program 1234 S. Wells, Chicago, IL 60612 2020-04-24
1578183414 Zachary Belden Student in an Organized Health Care Education/Training Program Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 2020-04-21
1548880560 Christina Nunez Student in an Organized Health Care Education/Training Program 801 S. Paulina Street, M/c 850, Chicago, IL 60612 2020-04-20
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Taxonomy Information

Taxonomy Code 208C00000X
Grouping Allopathic & Osteopathic Physicians
Classification Colon & Rectal Surgery

Taxonomy Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376845149 Saeed Salem Albalawi Colon & Rectal Surgery 2626 N Ashland Ave, Apartment #1, Chicago, IL 60614-1102 2010-11-29
1942291604 Vitaliy Y. Poylin Colon & Rectal Surgery 259 E Erie St Fl 16, Chicago, IL 60611-2987 2005-11-02
1558814251 Jean-sebastien Trepanier Colon & Rectal Surgery 1901 W Harrison St, Chicago, IL 60612-3714 2016-07-28
1386027753 Francois Dagbert Colon & Rectal Surgery 1901 W Harrison St, Chicago, IL 60612-3714 2015-07-03
1457792046 Jiri George Melich Colon & Rectal Surgery 1901 W Harrison St, Chicago, IL 60612-3714 2013-07-11
1295004976 Vamsi R Velchuru Colon & Rectal Surgery 840 S Wood St, Div of Colon and Rectal Surgery, Chicago, IL 60612-4325 2011-12-23
1952614265 Johan Fredrik Nordenstam Colon & Rectal Surgery 1801 W Taylor St, Occ 3f, Chicago, IL 60612-4795 2010-07-16
1316278088 Tim Heilizer Sc Corp Colon & Rectal Surgery 2222 W Division St, Suite 110, Chicago, IL 60622-2717 2010-01-20
1073743209 Ernestine Hambrick Colon & Rectal Surgery 1340 S Damen Ave, Suite 200, Chicago, IL 60608-1169 2009-07-22
1578767588 Michael Francis Mcgee Colon & Rectal Surgery 676 N Saint Clair St, Suite 650, Chicago, IL 60611-2927 2007-06-13
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Competitor

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City CHICAGO
Zip Code 60612

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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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