| Deepali Gershan Md | |
|
60 Revere Dr Suite 100 Northbrook IL 60062-1563 | |
| (224) 306-1879 | |
| Not Available |
| Full Name | Deepali Gershan Md |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Psychiatry |
| Location | 60 Revere Dr, Northbrook, Illinois |
| Authorized Official Name and Position | Deepali Gershan (OWNER / PRESIDENT) |
| Authorized Official Contact | 2243061879 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deepali Gershan Md 60 Revere Dr Suite 100 Northbrook IL 60062-1563 Ph: (224) 306-1879 | Deepali Gershan Md 60 Revere Dr Suite 100 Northbrook IL 60062-1563 Ph: (224) 306-1879 |
| NPI Number | 1700331469 |
|---|---|
| Provider Enumeration Date | 08/23/2016 |
| Last Update Date | 08/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700331469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | 036139934 (Illinois) | Primary |
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