Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A42730 | CA |
N | 111NI0900X | Internist | A42730 | CA |
N | 207R00000X | Internist | ME75755 | FL |
N | 111NI0900X | Internist | ME75755 | FL |
NPI | 1003025891 |
---|---|
Provider Name | William Edmond Gerardi |
First Address | Chicago, IL 60613-4204 |
Second Address | Chicago, IL 60613-4204 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2007 |
Last Update Date | 08/07/2007 |