Gill, Douglas A
Gill, Douglas A is an sole proprietor health care provider with primary practice located at 217 55Th St , Clarendon Hills IL 60514-1525. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gill, Douglas A can be contacted via phone (630) 850-7522.Contact Information
Primary practice address
217 55Th St
Clarendon Hills IL 60514-1525
Phone: (630) 850-7522
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036068005 | Illinois |
Profile Details
| NPI number | 1346439668 |
|---|---|
| LBN Legal business name | Gill, Douglas A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 23rd, 2007 |
| Last updated | Oct 23rd, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346439668 | NPPES |
| Illinois | Other | 0002201586 | BLUE CROSS BLUE SHIELD |
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