Dr David Gill, MD | |
24 Conway Cir, Bloomington, IL 61704-8285 | |
(217) 621-8720 | |
Not Available |
Full Name | Dr David Gill |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 24 Conway Cir, Bloomington, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326076654 | NPI | - | NPPES |
036081795-1 | Medicaid | IL | |
036081795-3 | Medicaid | IL | |
05721369 | Other | IL | BC/BS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | 036-081795 (Illinois) | Secondary |
207P00000X | Emergency Medicine | 036-081795 (Illinois) | Primary |
Entity Name | Vitas Health Services Of Texas Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740566017 PECOS PAC ID: 7012160518 Enrollment ID: O20130812000550 |
Mailing Address | Practice Location Address |
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Dr David Gill, MD 24 Conway Cir, Bloomington, IL 61704-8285 Ph: (217) 621-8720 | Dr David Gill, MD 24 Conway Cir, Bloomington, IL 61704-8285 Ph: (217) 621-8720 |
Dr. Richard Sabbun, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2200 E Washington St, Bloomington, IL 61701 Phone: 309-665-5925 | |
Matthew Oldenburg, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 14880 Old Colonial Rd, Bloomington, IL 61705 Phone: 309-828-4641 | |
Sam Pittmon, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2200 E Washington St, Bloomington, IL 61701 Phone: 309-662-3311 | |
Thomas P Fiero, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2200 E Washington St, Bloomington, IL 61701 Phone: 309-662-3311 | |
Rick Anderson, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 702 W Chestnut St, Bloomington, IL 61701 Phone: 309-557-1400 | |
Scott Joseph Januzik, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2200 E Washington St, Bloomington, IL 61701 Phone: 309-662-3311 |