Gates, Vanessa Louise
Gates, Vanessa Louise is an sole proprietor health care provider with primary practice located at 251 E Huron St Galter Pavilion 8-118, Chicago IL 60611. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiological Physics, which is considered as her primary health care specialty. Gates, Vanessa Louise can be contacted via phone (312) 926-3138.Contact Information
Primary practice address
251 E Huron St Galter Pavilion 8-118
Chicago IL 60611
Phone: (312) 926-3138
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiological Physics | 2085R0205X | IL-01037-02 | Illinois |
Profile Details
| NPI number | 1447767710 |
|---|---|
| LBN Legal business name | Gates, Vanessa Louise |
| Credentials | MS, DABR, DABSNM |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 8th, 2018 |
| Last updated | Jan 8th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447767710 | NPPES |
| Other | P2367 | AMERICAN BOARD OF RADIOLOGY - MEDICAL PHYSICS CERTIFICATE |
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