Gelman, Miguel

Gelman, Miguel is an individual health care provider with primary practice located at 1 Good Samaritan Way Attn: Radiology, Mount Vernon IL 62864-2402. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Gelman, Miguel can be contacted via phone (618) 242-4600.

Contact Information

Primary practice address
1 Good Samaritan Way Attn: Radiology Mount Vernon IL 62864-2402
Phone: (618) 242-4600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036117188 Illinois
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 036117188 Illinois

Profile Details

NPI number 1255378832
LBN Legal business name Gelman, Miguel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Mar 15th, 2021 - about 3 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255378832 NPPES
Illinois MEDICAID 036117188-3
Illinois Other P00357281
Illinois Other P00357281

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