Spill, Gayle R

Spill, Gayle R is an individual health care provider with primary practice located at 355 E Erie St , Chicago IL 60611-3167. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Spill, Gayle R can be contacted via phone (312) 238-1000.

Contact Information

Primary practice address
355 E Erie St Chicago IL 60611-3167
Fax: (312) 238-3695
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 036-088519 Illinois

Profile Details

NPI number 1699767855
LBN Legal business name Spill, Gayle R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Jun 24th, 2022 - about 4 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 1699767855 NPPES
Illinois MEDICAID 036088519-4

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