Individual ProviderDonald R GerryFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address16525 106th Ct, Orland Park, IL 60467-4545(708) 226-6977PECOS EnrollmentBased on the most recent information from CMS, provider Donald R Gerry does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1154369395Provider TypeIndividualFull NameGerry, Donald RTitleDr.CredentialD.O.GenderMaleSole ProprietorNoEnumeration Date6/2/2006Last Updated5/1/2012Contact InformationPractice LocationPractice Address16525 106th Ct, Orland Park, IL 60467-4545Phone(708) 226-6977Fax(708) 226-1372Mailing LocationMailing Address16525 S 106th Court, Orland Park, IL 60467Phone(708) 226-6977Fax(708) 226-1372Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense036083184IllinoisProvider IdentifiersIDDescriptionIssuerID036083184DescriptionMedicaidIssuerUnlistedIllinois