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Michael T. Gillam

Emergency Physician

2650 Ridge Ave Emergency Medicine Rm G909
Evanston , Illinois 60201-1718

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Image

Michael T. Gillam

Emergency Physician

2650 Ridge Ave Emergency Medicine Rm G909
Evanston , Illinois 60201-1718

(847) 733-5315

Write a Review Save Call

Michael T. Gillam

Emergency Physician

2650 Ridge Ave Emergency Medicine Rm G909
Evanston , Illinois 60201-1718

(847) 733-5315 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Emergency Physician

Languages spoken

  • English

Location

2650 Ridge Ave Emergency Medicine Rm G909 Evanston , Illinois 60201-1718

First Address

  • Michael T. Gillam
  • 2650 Ridge Ave Evanston Hospital
  • Evanston, IL
  • Zip : 60201-1718
  • Fax : (847) 733-5315
  • Phone : (847) 570-1644

Second Address

  • Michael T. Gillam
  • 2650 Ridge Ave Emergency Medicine Rm G909
  • Evanston, IL
  • Zip : 60201-1718
  • Fax : (847) 570-1223
  • Phone : (847) 570-2114

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FAQs


Where did Michael T. Gillam attend graduate school?

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Where did Michael T. Gillam do his residency?

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Where did Michael T. Gillam do his fellowship?

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Is Michael T. Gillam board certified?

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What type of doctor is Michael T. Gillam

Emergency Physician

In what state does Michael T. Gillam practice in?

Illinois

Where is Michael T. Gillam ’s practice located?

2650 Ridge Ave Emergency Medicine Rm G909 , Evanston, Illinois, 60201-1718

What is Michael T. Gillam ’s gender?

Male

Is Michael T. Gillam a sole practitioner?

No

Is Michael T. Gillam accepting new patients?

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What languages does Michael T. Gillam speak?

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Does Michael T. Gillam accept insurance?

Yes, Michael T. Gillam accepts insurance

Does Michael T. Gillam offers telemedicine?

Michael T. Gillam has not indicated if he offers telemedicine

What is Michael T. Gillam ’s professional license number?

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What is Michael T. Gillam ’s NPI number?

1013092188

Does Michael T. Gillam have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207P00000X Emergency Physician IL

National Provider Identifier

NPI 1013092188
Provider Name Michael T. Gillam
First Address Evanston, IL 60201-1718
Second Address Evanston, IL 60201-1718
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 26/10/2006
Last Update Date 08/07/2007

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
H03534 (02) IL

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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