Gwillim, Susan

Gwillim, Susan is an individual health care provider with primary practice located at 5401 N Knoxville Ave Suite 218, Peoria IL 61614-5098. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Gwillim, Susan can be contacted via phone (309) 693-2244.

Contact Information

Primary practice address
5401 N Knoxville Ave Suite 218 Peoria IL 61614-5098
Phone: (309) 693-2244
Fax: (309) 693-7606
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070012872
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070012872 Illinois

Profile Details

NPI number 1053410159
LBN Legal business name Gwillim, Susan
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Sep 22nd, 2020 - about 6 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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