GASTROENTEROLOGY SERVICES ENDOSCOPY SUITE, LTD
Ambulatory Health at Highland Ave, Downers Grove, IL

License number
Illinois 6827 782 5
Category
Ambulatory Health
Type
Endoscopy
Owner
Name: DR. DAVID PHILIP GERARD MD
Title: PRESIDENT
Phone: (630) 969-1167
Address
Address
3825 Highland Ave STE 203, Downers Grove, IL 60515
National Provider ID: 1083972624
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GASTROENTEROLOGY SERVICES ENDOSCOPY SUITE, LTD

Downers Grove, IL 60515

Registration:
Apr 18, 2012
State ID:
68277825
Business type:
DOMESTIC BCA
Expiration:
PERPETUAL
Agent:
David P Gerard,3825 Highland Ave STE 203, Downers Grove, IL 60515 (Physical)

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