MEDICARE: STEVE M GILLANI

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	171R00000X	Interpreter
2	172A00000X	Driver	G45079364078	IL
3	174400000X	Specialist

General Provider Information

NPI Number	:	1992031751
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVE M GILLANI

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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2009
Last Update Date	:	10/28/2009

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Directions to “ STEVE M GILLANI ” Practice Location

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