| Mr James Kevin Gilligan Jr, RD, LD | |
|
501 Lake Land Blvd, Mattoon, IL 61938-5283 | |
| (217) 258-3370 | |
| Not Available |
| Full Name | Mr James Kevin Gilligan Jr |
|---|---|
| Gender | Male |
| Speciality | Dietitian, Registered |
| Location | 501 Lake Land Blvd, Mattoon, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629453097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 164006502 (Illinois) | Primary |
| 133V00000X | Dietitian, Registered | 2012036779 (Missouri) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr James Kevin Gilligan Jr, RD, LD 6612 Winnebago St, Saint Louis, MO 63109-1245 Ph: (314) 537-0932 | Mr James Kevin Gilligan Jr, RD, LD 501 Lake Land Blvd, Mattoon, IL 61938-5283 Ph: (217) 258-3370 |
Karen Morton, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-348-2199 | |
Denise Bloemer, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2199 Fax: 217-258-2139 | |
Erin Smitley, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2199 | |
Lindsey Richter, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1005 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2552 Fax: 217-238-4775 | |
Andrea Kay Brettin, MS, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 501 Lake Land Blvd, Mattoon, IL 61938 Phone: 217-554-3000 | |
Ellen C Homann, M.S, R.D., L.D.N Dietitian Medicare: Not Enrolled in Medicare Practice Location: 501 Lake Land Blvd, Suite D, Mattoon, IL 61938 Phone: 217-258-3370 Fax: 217-258-3379 | |
Mrs. Michelle Renae Schultz, R.D.,L.D.N Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1004 Health Center Dr Ste 110, Mattoon, IL 61938 Phone: 217-238-3488 Fax: 217-238-3485 |