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 34 days ago.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