MEDICARE: CHRISTOPHER JAMES GILL PHD, CNP, CRNA

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	367500000X	Certified Registered Nurse Anesthetist	041414967	IL
2	367500000X	Certified Registered Nurse Anesthetist	RN2263334	MA
3	363L00000X	Nurse Practitioner	RN2263334	MA
4	363L00000X	Nurse Practitioner	209027184	IL

General Provider Information

NPI Number	:	1649606351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER JAMES GILL PHD, CNP, CRNA

Provider Business Mailing Address
First Line	:	8725 W HIGGINS RD STE 525
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60631-2713
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8725 W HIGGINS RD STE 525
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60631-2713
Country	:	US
Telephone Number	:	708-667-0014
Fax Number	:

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

Provider Enumeration Date	:	09/26/2013
Last Update Date	:	03/09/2026

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