Provider Demographics
NPI:1144227521
Name:GERBER, GAIL S (MD)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:S
Last Name:GERBER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1786 MOON LAKE BLVD
Mailing Address - Street 2:SUITE 207
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-5029
Mailing Address - Country:US
Mailing Address - Phone:847-884-1800
Mailing Address - Fax:847-884-6768
Practice Address - Street 1:1786 MOON LAKE BLVD
Practice Address - Street 2:SUITE 207
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-5029
Practice Address - Country:US
Practice Address - Phone:847-884-1800
Practice Address - Fax:847-884-6768
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036070032207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036070032Medicaid
ILC43985Medicare UPIN