MEDICARE: DR. TAD GERLINGER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	036111139	IL
2	207X00000X	Orthopaedic Surgery Physician	23111	WV
3	207X00000X	Orthopaedic Surgery Physician	M4089	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	GE4234051	OTHER	WV	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1633878	OTHER	IL	BCBS IL

General Provider Information

NPI Number	:	1922097971
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TAD GERLINGER M.D.

Provider Business Mailing Address
First Line	:	1611 W HARRISON ST
Second Line	:	SUITE 300
City	:	CHICAGO
State	:	IL
Zip	:	60612-4861
Country	:	US
Telephone Number	:	312-432-2300
Fax Number	:	312-942-1517

Provider Business Practice Location Address
First Line	:	1611 W HARRISON ST
Second Line	:	SUITE 400
City	:	CHICAGO
State	:	IL
Zip	:	60612-4861
Country	:	US
Telephone Number	:	312-432-2300
Fax Number	:	312-942-1517

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2005
Last Update Date	:	04/04/2014

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Directions to “ DR. TAD GERLINGER M.D.” Practice Location

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