Gill, David

Gill, David is an individual health care provider with primary practice located at 24 Conway Cir , Bloomington IL 61704-8285. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Gill, David can be contacted via phone (217) 621-8720.

Contact Information

Primary practice address
24 Conway Cir Bloomington IL 61704-8285
Phone: (217) 621-8720
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 036-081795 Illinois
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036-081795 Illinois

Profile Details

NPI number 1326076654
LBN Legal business name Gill, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Mar 9th, 2015 - about 11 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 1326076654 NPPES
Illinois MEDICAID 036081795-1
Illinois MEDICAID 036081795-3
Illinois Other 05721369

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