DR. Ted Gehrig

NPI #1013166420 in Chicago, Illinois

Provider Information

NPI Number: 1013166420
Entity Type: Individual
Name: DR. Ted Gehrig
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 10, 2008
Last Updated: Sep 10, 2008

Practice Location

Address: 2551 N CLARK ST
Address 2: SUITE 700
City: Chicago
State: Illinois
ZIP Code: 60614-1798
Phone: (773) 348-7008

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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