MEDICARE: GILLANI & ASSOCIATES, INC

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	332BC3200X	Customized Equipment (DME)
2	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1932435997
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GILLANI & ASSOCIATES, INC

Provider Business Mailing Address
First Line	:	111 E WACKER DR
Second Line	:	LL02
City	:	CHICAGO
State	:	IL
Zip	:	60601-3713
Country	:	US
Telephone Number	:	312-861-1953
Fax Number	:	312-861-1955

Provider Business Practice Location Address
First Line	:	111 E WACKER DR
Second Line	:	LL02
City	:	CHICAGO
State	:	IL
Zip	:	60601-3713
Country	:	US
Telephone Number	:	312-861-1953
Fax Number	:	312-861-1955

Authorized Official
Title or Position	:	PRESIDENT
Name	:	STEVE GILLANI
Credential	:
Telephone Number	:	312-861-1953

Provider Enumeration Date	:	10/27/2009
Last Update Date	:	10/27/2009

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