Dr. Antonio Gangemi, MD
Surgery in Chicago, IL. Individual provider (NPI-1).
NPI number1982806949
StatusActive
Last updated in NPPESMay 15, 2013
Details
- NPI
- 1982806949
- Entity type
- Individual (NPI-1)
- Name
- Dr. Antonio Gangemi
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 1, 2007
- Last updated
- May 15, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 336087097 | IL | Yes |
Other names
- Antonio Gangemi (Professional Name)
Practice location
1740 W Taylor StChicago, IL 60612-7232
Phone 866-600-2273
Mailing address
840 S Wood StChicago, IL 60612-4325
Phone 312-355-1493
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