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1972814283 NPI number — CHRISTINE M GILLETTE RD

NPI Number: 1972814283
Health Care Provider/Practitioner: CHRISTINE M GILLETTE RD

Information about “1972814283” NPI (CHRISTINE M GILLETTE RD) exists in 1972814283 in HTML format HTML  |  1972814283 in plain Text format TXT  |  1972814283 in PDF (Portable Document Format) PDF  |  1972814283 in an XML format XML  formats.

NPI Number : 1972814283 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1972814283",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GILLETTE",
    "FirstName": "CHRISTINE",
    "MiddleName": "M",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GILLETTE",
    "OtherFirstName": "CHRISTINE",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "RD",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "29624 NETWORK PL",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHICAGO",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60673-1296",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "262-245-0535",
    "MailingAddressFaxNumber": "262-245-2248",
    "FirstLinePracticeLocationAddress": "104 E ROOSEVELT ROAD,",
    "SecondLinePracticeLocationAddress": "SUITE 201",
    "PracticeLocationAddressCityName": "WHEATON",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60187-5200",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "630-752-8823",
    "PracticeLocationAddressFaxNumber": "630-480-0057",
    "EnumerationDate": "07/01/2010",
    "LastUpdateDate": "08/25/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "133V00000X",
          "TaxonomyName": "Registered Dietitian",
          "LicenseNumber": "1970-29",
          "LicenseNumberStateCode": "WI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "133V00000X",
          "TaxonomyName": "Registered Dietitian",
          "LicenseNumber": "164-004-139",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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