MEDICARE: JULIE BETH MARIE GILLESPIE 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
1	207L00000X	Anesthesiology Physician	2024039475	MO
2	207L00000X	Anesthesiology Physician	036166946	IL

General Provider Information

NPI Number	:	1306308291
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE BETH MARIE GILLESPIE MD

Provider Business Mailing Address
First Line	:	660 S EUCLID AVE
Second Line	:	DEPT OF ANESTHESIOLOGY
City	:	SAINT LOUIS
State	:	MO
Zip	:	63110-1010
Country	:	US
Telephone Number	:	800-862-9980
Fax Number	:	314-362-1185

Provider Business Practice Location Address
First Line	:	1 BARNES JEWISH HOSPITAL PLZ
Second Line	:	DEPT OF ANESTHESIOLOGY
City	:	SAINT LOUIS
State	:	MO
Zip	:	63110-1003
Country	:	US
Telephone Number	:	800-862-9980
Fax Number	:	314-362-1185

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

Provider Enumeration Date	:	04/01/2019
Last Update Date	:	12/16/2025

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