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Contact Information

JOSEPH GILLAM, MD
2160 S 1ST AVE
MAYWOOD, IL60153-3328
 Phone: 888-548-7888
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cytopathology

207ZC0500X 22 Physician/Pathology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JOSEPH GILLAM · (Male)

NPI # 1376168963
Status Active
Credentials MD
Entity Individual
Enumeration date 06/10/2020
Last updated 05/29/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 125.083147
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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