Individual ProviderJustin GerardSurgeryAllopathic & Osteopathic PhysiciansPractice Address1650 W Harrison St Ste 466, Chicago, IL 60612-3800(734) 308-8260PECOS EnrollmentBased on the most recent information from CMS, provider Justin Gerard is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1104275643Provider TypeIndividualFull NameGerard, JustinCredentialM.D.GenderMaleSole ProprietorYesEnumeration Date6/6/2016Last Updated11/29/2020Contact InformationPractice LocationPractice Address1650 W Harrison St Ste 466, Chicago, IL 60612-3800Phone(734) 308-8260FaxUnlisted FaxMailing LocationMailing Address1650 W Harrison St Ste 466, Chicago, IL 60612-3800Phone(734) 308-8260FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208600000XPrimaryDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicense125.068998Illinois