Alex, Gillian
Alex, Gillian is an individual health care provider with primary practice located at 1653 W Congress Pkwy , Chicago IL 60612-3833. She recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as her primary health care specialty. Alex, Gillian can be contacted via phone (617) 775-4573.Contact Information
Primary practice address
1653 W Congress Pkwy
Chicago IL 60612-3833
Phone: (617) 775-4573
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 036147043 | Illinois |
Profile Details
NPI number | 1851730907 |
---|---|
LBN Legal business name | Alex, Gillian |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 21st, 2013 |
Last updated | May 3rd, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1851730907 | NPPES |
Illinois | Other | 036147043 | STATE LICENSE |
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