Gillstrom, Eileen

Gillstrom, Eileen is an individual health care provider with primary practice located at 412 Nelson Rd , New Lenox IL 60451-2946. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Gillstrom, Eileen can be contacted via phone (815) 462-1333.

Contact Information

Primary practice address
412 Nelson Rd New Lenox IL 60451-2946
Phone: (815) 462-1333
Fax: (815) 462-1360
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070-007956 Illinois

Profile Details

NPI number 1942357678
LBN Legal business name Gillstrom, Eileen
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Jun 12th, 2013 - about 11 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 1942357678 NPPES
Illinois Other 070-007956 PT STATE LICENSE #

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