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Contact Information

MICHAEL GILLMORE, RNFA
100 DEERPATH
CHARLESTON, IL61920-9427
 Phone: 217-345-2727
 Fax: 217-345-2781
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical-Surgical

163WM0705X
Indicates primary specialty

NPI Profile & details for MICHAEL GILLMORE · (Male)

NPI Number 1417072422
Status Active
Credentials RNFA
Entity Individual
Enumeration date 03/20/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers Not Available
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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