IndividualActive
Gerald Gantt
NPI 1386962207 · Colon & Rectal Surgery Physician · Chicago, IL
Provider details
- NPI number
- 1386962207
- Entity type
- Individual
- Primary specialty
- Colon & Rectal Surgery PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 036143979 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
840 S Wood St Ste 518e
Chicago, IL 60612
Phone: (312) 996-2061
Approximate (ZIP-level) locationGet directions
Mailing address
840 S Wood St Ste 518e
Chicago, IL 60612-4325
Additional practice locations (1)
- 263 Farmington AveFarmington, CT 06030-0001Phone: (860) 679-2000
Registry dates
- Enumerated
- 2010-05-17
- Last updated
- 2018-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.