DR. Gordon Harris Derman, M. D.

NPI #1184679235 in Chicago, Illinois

Provider Information

NPI Number: 1184679235
Entity Type: Individual
Name: DR. Gordon Harris Derman, M. D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: M. D.
Enumeration Date: May 24, 2006
Last Updated: Jul 18, 2012

Practice Location

Address: 1725 W HARRISON ST
Address 2: SUITE 740
City: Chicago
State: Illinois
ZIP Code: 60612-3841
Phone: (312) 432-9200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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