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NPI Code Detail

MEDICARE: DR. GAYLE R SPILL M.D.

MEDICARE: DR. GAYLE R SPILL M.D.
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
1208100000XPhysical Medicine & Rehabilitation Physician036-088519IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699767855
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GAYLE R SPILL M.D.
Provider Business Mailing Address
First Line : 355 E ERIE ST
Second Line :
City : CHICAGO
State : IL
Zip : 60611-3167
Country : US
Telephone Number : 312-238-1000
Fax Number :
Provider Business Practice Location Address
First Line : 355 E ERIE ST
Second Line :
City : CHICAGO
State : IL
Zip : 60611-3167
Country : US
Telephone Number : 312-238-1000
Fax Number : 312-238-3695
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2005
Last Update Date : 06/24/2022

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Directions to “ DR. GAYLE R SPILL M.D.” Practice Location

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