MEDICARE: REBECCA GILLILAN CNIM

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
1	246ZE0600X	Electroneurodiagnostic Specialist/Technologist	1640
2	235Z00000X	Speech-Language Pathologist		NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1640	OTHER		CNIM

General Provider Information

NPI Number	:	1023291754
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA GILLILAN CNIM

Provider Business Mailing Address
First Line	:	4080 N JULIANO RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-0401
Country	:	US
Telephone Number	:	702-883-9401
Fax Number	:

Provider Business Practice Location Address
First Line	:	4080 N JULIANO RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-0401
Country	:	US
Telephone Number	:	702-883-9401
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/17/2007
Last Update Date	:	03/16/2026

Similar Medicare Providers

1003166810 — KATIE ROSE WAECHTER
Practice Location Address:

6972 JASMINE CREEK WAY
LAS VEGAS, NV
89119-0401

Practice Phone: 702-338-7358
Practice Fax:

1962350082 — JAKERRIE JACKSON
Practice Location Address:

3301 N BUFFALO DR STE 180
LAS VEGAS, NV
89129-7449

Practice Phone: 702-932-3500
Practice Fax:

1538461512 — RAHIEM ANTHONY HOBBS
Practice Location Address:

8776 HARVEST VALLEY AVE
LAS VEGAS, NV
89129-8311

Practice Phone: 702-350-3738
Practice Fax:

1730710807 — PRIME CARDIOLOGY GROUP
Practice Location Address:

9950 W CHEYENNE AVE
LAS VEGAS, NV
89129-7700

Practice Phone: 702-805-5678
Practice Fax: 725-204-0423

1356298897 — MARIA NORIEGA
Practice Location Address:

3301 N BUFFALO DR STE 180
LAS VEGAS, NV
89129-7449

Practice Phone: 702-932-3500
Practice Fax:

1508523879 — RYAN BARRY
Practice Location Address:

8670 W CHEYENNE, SUITE 135 , A HELPING HAND IN HOME HEALTH CARE
LAS VEGAS, NV
89129

Practice Phone: 702-822-2600
Practice Fax: 702-822-1910

Directions to “ REBECCA GILLILAN CNIM” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.