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General NPI Number Information
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NPI Number | 1518240126
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Entity Type | Organization
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Legal Business Name | DAVID A GERST DPM SC
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Dates
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Enumeration Date | 09/21/2011
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Last Update Date | 09/10/2019
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Provider Practice Location Address
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Address Line | 1516 E 87TH ST
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City | CHICAGO
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State | IL
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Zip | 60619
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Country | US
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Telephone | 773-375-7106
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Fax | 773-359-2659
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Provider Business Mailing Address
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Address Line | 1516 E 87TH ST
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City | CHICAGO
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State | IL
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Zip | 60619-6525
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Country | US
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Telephone | 773-375-1706
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Fax | 773-375-1622
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID GERST
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Credential | DPM
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Telephone | 708-422-4300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 016005412
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License Number State | IL
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