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NPI Code Detail

MEDICARE: LUKAS ALAN GILMORE DPT

MEDICARE: LUKAS ALAN GILMORE DPT
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
1225100000XPhysical TherapistP23999NC
2225100000XPhysical Therapist301424CA
3225100000XPhysical TherapistPTL.0019965CO

General Provider Information

NPI Number : 1598367658
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUKAS ALAN GILMORE DPT
Provider Business Mailing Address
First Line : 2001 BUTTERFIELD RD STE 1600
Second Line :
City : DOWNERS GROVE
State : IL
Zip : 60515-1211
Country : US
Telephone Number : 866-370-8206
Fax Number :
Provider Business Practice Location Address
First Line : 1065 E TUCSON MARKETPLACE BLVD STE 155
Second Line :
City : TUCSON
State : AZ
Zip : 85713-6563
Country : US
Telephone Number : 520-719-4210
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2020
Last Update Date : 11/04/2025

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Directions to “ LUKAS ALAN GILMORE DPT” Practice Location

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