Gamble, Gail L

Gamble, Gail L is an individual health care provider with primary practice located at 345 E Superior St , Chicago IL 60611-2654. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Gamble, Gail L can be contacted via phone (312) 238-7670.

Contact Information

Primary practice address
345 E Superior St Chicago IL 60611-2654
Phone: (312) 238-7670
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 036-121622 Illinois

Profile Details

NPI number 1619949088
LBN Legal business name Gamble, Gail L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated May 4th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619949088 NPPES
Illinois MEDICAID 036121622-2
Illinois MEDICAID 520220500
Illinois MEDICAID 036121622-1

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