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Contact Information

HARRISON J GILLEY, DPM
3505 COLLEGE AVE STE B
ALTON, IL62002-5065
 Phone: 618-462-9695
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for HARRISON J GILLEY · (Male)

NPI Number 1437892494
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 04/18/2022
Last updated 01/02/2026 - About 5 months ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 016.006103
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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