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NPI Code Detail

MEDICARE: SARAH ALICE GILFILLAN PA

MEDICARE: SARAH ALICE GILFILLAN PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant085-009600IL
2390200000XStudent in an Organized Health Care Education/Training Program

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1085-009600OTHERILLICENSE

General Provider Information

NPI Number : 1043971435
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH ALICE GILFILLAN PA
Provider Business Mailing Address
First Line : 1400 S MICHIGAN AVE APT 1203
Second Line :
City : CHICAGO
State : IL
Zip : 60605-3720
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 900 RAND RD STE 120
Second Line :
City : DES PLAINES
State : IL
Zip : 60016-2359
Country : US
Telephone Number : 312-767-3244
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2022
Last Update Date : 04/08/2026

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Directions to “ SARAH ALICE GILFILLAN PA” Practice Location

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