Matthew D Gimre
Family Doctor - Sports Medicine
27650 Ferry Rd Suite 100
Warrenville
, Illinois 60555-3845
Matthew D Gimre
Family Doctor - Sports Medicine
27650 Ferry Rd Suite 100
Warrenville
, Illinois 60555-3845
(630) 225-2399
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Matthew D Gimre
- 27650 Ferry Rd Suite 100
- Warrenville, IL
- Zip : 60555-3845
- Fax : (630) 225-2399
- Phone : (630) 225-2663
Second Address
- Matthew D Gimre
- 27650 Ferry Rd Suite 100
- Warrenville, IL
- Zip : 60555-3845
- Fax : (630) 225-2399
- Phone : (630) 225-2663
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Is Matthew D Gimre a sole practitioner?
Is Matthew D Gimre accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | 036101771 | IL |
National Provider Identifier
| NPI | 1154310365 |
|---|---|
| Provider Name | Matthew D Gimre |
| First Address | Warrenville, IL 60555-3845 |
| Second Address | Warrenville, IL 60555-3845 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/10/2005 |
| Last Update Date | 01/04/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H39766 | (02) | IL |
| P01163249 | RR MEDICARE (01) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.