DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1508836586

NPI Code Detail

MEDICARE: DR. CAROL A GILMORE MD

MEDICARE: DR. CAROL A GILMORE 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	207P00000X	Emergency Medicine Physician	37019-20	WI
2	207P00000X	Emergency Medicine Physician	625-320	WI
3	207P00000X	Emergency Medicine Physician	0104282A	IN
4	207P00000X	Emergency Medicine Physician	036088146	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	930118930	OTHER	IN	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	IN0002292	OTHER	IN	TRICARE
2	000000223688	OTHER	IN	ANTHEM BCBS
3	036088146	OTHER	IL	STATE LICENSE
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	90001082	OTHER	IL	BCBS
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508836586
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAROL A GILMORE MD

Provider Business Mailing Address
First Line	:	1850 GATEWAY DR STE 100
Second Line	:
City	:	SYCAMORE
State	:	IL
Zip	:	60178-3192
Country	:	US
Telephone Number	:	815-217-3252
Fax Number	:	815-756-4941

Provider Business Practice Location Address
First Line	:	1850 GATEWAY DR STE 100
Second Line	:
City	:	SYCAMORE
State	:	IL
Zip	:	60178-3192
Country	:	US
Telephone Number	:	815-217-3252
Fax Number	:	815-756-4941

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

Provider Enumeration Date	:	01/24/2006
Last Update Date	:	01/09/2023

Similar Medicare Providers

1265897755 — ANDREW JAMES HORNUNG APN-CNP
Practice Location Address:

1850 GATEWAY DR
SYCAMORE, IL
60178-3192

Practice Phone: 815-217-3252
Practice Fax: 815-758-5348

1023018322 — ASRA F KHAN MD
Practice Location Address:

1850 GATEWAY DR
SYCAMORE, IL
60178-3192

Practice Phone: 815-217-3252
Practice Fax: 815-639-8451

1063405223 — MUJAHID MOHAMMAD HUSSAIN M.D.
Practice Location Address:

1850 GATEWAY DR
SYCAMORE, IL
60178-3192

Practice Phone: 815-756-1521
Practice Fax:

1497739569 — BRYAN M KRUSKOL DO
Practice Location Address:

1850 GATEWAY DR STE 201
SYCAMORE, IL
60178-3192

Practice Phone: 815-766-7021
Practice Fax: 815-758-5690

1053371849 — CARRIE L KOPALA PA-C
Practice Location Address:

1850 GATEWAY DR
SYCAMORE, IL
60178-3192

Practice Phone: 815-766-9901
Practice Fax: 815-758-7298

1447277140 — DEKALB CLINIC CHARTERED
Practice Location Address:

1850 GATEWAY DR
SYCAMORE, IL
60178-3192

Practice Phone: 815-758-8671
Practice Fax: 815-758-5610

Directions to “ DR. CAROL A GILMORE MD” 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.