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General NPI Number Information
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NPI Number | 1497765960
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Entity Type | Individual
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Provider Name | GREGG GERSTIN D.C.
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Gender | Male
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 900 SKOKIE BLVD STE.113
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City | NORTHBROOK
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State | IL
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Zip | 60062-4012
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Country | US
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Telephone | 847-564-0483
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Fax | 847-564-0486
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Provider Business Mailing Address
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Address Line | 666 DUNDEE RD STE 401
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City | NORTHBROOK
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State | IL
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Zip | 60062-2733
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Country | US
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Telephone | 847-564-9500
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Fax | 847-564-0486
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038-010063
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License Number State | IL
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