Gilmore, Carol A

Gilmore, Carol A is an individual health care provider with primary practice located at 1850 Gateway Dr Ste 100 , Sycamore IL 60178-3192. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Gilmore, Carol A can be contacted via phone (815) 217-3252.

Contact Information

Primary practice address
1850 Gateway Dr Ste 100 Sycamore IL 60178-3192
Phone: (815) 217-3252
Fax: (815) 756-4941
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 37019-20 Wisconsin
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 625-320 Wisconsin
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0104282A Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036088146 Illinois

Profile Details

NPI number 1508836586
LBN Legal business name Gilmore, Carol A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Jan 9th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508836586 NPPES
Indiana Other IN0002292 TRICARE
Indiana Other 000000223688 TRICARE
Indiana Other 036088146 TRICARE
Indiana MEDICAID 200282780 TRICARE
Indiana Other 930118930 TRICARE
Indiana Other 90001082 TRICARE
Indiana MEDICAID 036088146 TRICARE

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