GERALD GANTT Jr.
Individual Provider (NPI-1)
Active
Colon & Rectal Surgery
Provider Information
- NPI Number
1386962207- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 840 S WOOD ST STE 518E, CHICAGO, IL, 60612
- Phone
- (312) 996-2061
Specialties & Taxonomies
Colon & Rectal Surgery
Primary License: IL #036143979
All Addresses
MAILING
840 S WOOD ST STE 518E
CHICAGO, IL, 606124325