Healthcare Provider Details

I. General information

NPI: 1407975949
Provider Name (Legal Business Name): GILLIAN THORNHILL L.P.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: GILLIAN BENDER

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

422 N NORTHWEST HWY STE 335
PARK RIDGE IL
60068-3261
US

IV. Provider business mailing address

422 N NORTHWEST HWY STE B4
PARK RIDGE IL
60068-3272
US

V. Phone/Fax

Practice location:
  • Phone: 847-894-6442
  • Fax: 630-954-6066
Mailing address:
  • Phone: 847-894-6442
  • Fax: 630-954-6066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number178003972
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: