Gan, Stephen Robert

Gan, Stephen Robert is an sole proprietor health care provider with primary practice located at 5841 S Maryland Ave # 1145 , Chicago IL 60637-1443. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Gan, Stephen Robert can be contacted via phone (773) 702-1000.

Contact Information

Primary practice address
5841 S Maryland Ave # 1145 Chicago IL 60637-1443
Phone: (773) 702-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X C7-0006775 Delaware
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 036.155466 Illinois

Profile Details

NPI number 1811491525
LBN Legal business name Gan, Stephen Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2018
Last updated Jun 29th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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