Healthcare Provider Details

I. General information

NPI: 1932435997
Provider Name (Legal Business Name): GILLANI & ASSOCIATES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2009
Last Update Date: 10/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 E WACKER DR LL02
CHICAGO IL
60601-3713
US

IV. Provider business mailing address

111 E WACKER DR LL02
CHICAGO IL
60601-3713
US

V. Phone/Fax

Practice location:
  • Phone: 312-861-1953
  • Fax: 312-861-1955
Mailing address:
  • Phone: 312-861-1953
  • Fax: 312-861-1955

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: STEVE GILLANI
Title or Position: PRESIDENT
Credential:
Phone: 312-861-1953