Provider Demographics
NPI:1346424488
Name:TORRES, GERARDO
Entity type:Individual
Prefix:
First Name:GERARDO
Middle Name:
Last Name:TORRES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2778 JENNA CIR
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:IL
Mailing Address - Zip Code:60538-4000
Mailing Address - Country:US
Mailing Address - Phone:630-926-6821
Mailing Address - Fax:630-264-2955
Practice Address - Street 1:2778 JENNA CIR
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:IL
Practice Address - Zip Code:60538-4000
Practice Address - Country:US
Practice Address - Phone:630-926-6821
Practice Address - Fax:630-264-2955
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-26
Last Update Date:2007-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter