| Douglas Gill MD SC | |
|
217 55th St Clarendon Hls IL 60514-1525 | |
| (630) 850-7520 | |
| (630) 850-7514 |
| Full Name | Douglas Gill MD SC |
|---|---|
| Speciality | Family Medicine |
| Location | 217 55th St, Clarendon Hls, Illinois |
| Authorized Official Name and Position | Douglas Arthur Gill (PRESIDENT) |
| Authorized Official Contact | 6308507522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Gill MD SC 217 55th St Clarendon Hls IL 60514-1525 Ph: (630) 850-7520 | Douglas Gill MD SC 217 55th St Clarendon Hls IL 60514-1525 Ph: (630) 850-7520 |
| NPI Number | 1326032426 |
|---|---|
| Provider Enumeration Date | 09/02/2005 |
| Last Update Date | 10/10/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326032426 | NPI | - | NPPES |
| 02201586 | Other | IL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036068005 (Illinois) | Primary |