Gillham, Angela Deon
Gillham, Angela Deon is an individual health care provider with primary practice located at 800 W 5Th Ave 100G, Naperville IL 60563-8965. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gillham, Angela Deon can be contacted via phone (312) 498-4113.Contact Information
Primary practice address
800 W 5Th Ave 100G
Naperville IL 60563-8965
Phone: (312) 498-4113
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | Illinois |
Profile Details
NPI number | 1194878405 |
---|---|
LBN Legal business name | Gillham, Angela Deon |
Credentials | PSY.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 19th, 2007 |
Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1194878405 | NPPES |
Illinois | Other | 2232522 | BLUE CROSS BLUE SHIELD |
Illinois | Other | 2254200 | BLUE CROSS BLUE SHIELD |
Illinois | Other | 266818 | BLUE CROSS BLUE SHIELD |
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