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Contact Information

DAVID J GILMORE, P.A.-C
333 N MADISON ST
JOLIET, IL60436
 Phone: 815-725-7133
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for DAVID J GILMORE · (Male)

NPI # 1184701922
Status Active
Credentials P.A.-C
Entity Individual
Enumeration date 11/01/2006
Last updated 01/30/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 08500645
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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