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NPI Code Detail

MEDICARE: PAUL GILBERT MD

MEDICARE:   PAUL  GILBERT  MD
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
1207P00000XEmergency Medicine PhysicianIL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
108232204OTHERILBLUE CROSS BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154343358
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL GILBERT MD
Provider Business Mailing Address
First Line : 57 E DELAWARE PL
Second Line : 3406
City : CHICAGO
State : IL
Zip : 60611-1476
Country : US
Telephone Number : 312-951-5800
Fax Number :
Provider Business Practice Location Address
First Line : 57 E DELAWARE PL
Second Line : 3406
City : CHICAGO
State : IL
Zip : 60611-1476
Country : US
Telephone Number : 312-951-5800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2006
Last Update Date : 11/16/2007

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Directions to “ PAUL GILBERT MD” Practice Location

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