Gimre, Matthew D

Gimre, Matthew D is an individual health care provider with primary practice located at 27650 Ferry Rd Suite 100, Warrenville IL 60555-3845. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Gimre, Matthew D can be contacted via phone (630) 225-2663.

Contact Information

Primary practice address
27650 Ferry Rd Suite 100 Warrenville IL 60555-3845
Fax: (630) 225-2399
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 036101771 Illinois

Profile Details

NPI number 1154310365
LBN Legal business name Gimre, Matthew D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Apr 1st, 2014 - 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 1154310365 NPPES
Illinois Other P01163249 RR MEDICARE

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