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NPI Code Detail

MEDICARE: LILLIAN GASKIN

MEDICARE: LILLIAN GASKIN
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
1225X00000XOccupational Therapist056017011IL

General Provider Information

NPI Number : 1255289633
Entity Type Code : Individual
Provider Name (Legal Business Name) : LILLIAN GASKIN
Provider Business Mailing Address
First Line : 10850 S HOMAN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60655-2612
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11053 S MILLARD AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60655-3327
Country : US
Telephone Number : 773-253-9856
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2026
Last Update Date : 03/20/2026

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Directions to “ LILLIAN GASKIN ” Practice Location

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