| Child Neurology Solutions Pllc | |
|
360 Sherman St Suite 399, Fort Road Medical Center Saint Paul MN 55102-2564 | |
| (651) 356-0136 | |
| Not Available |
| Full Name | Child Neurology Solutions Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 360 Sherman St, Saint Paul, Minnesota |
| Authorized Official Name and Position | Beth Gilles (OWNER) |
| Authorized Official Contact | 6513560136 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Child Neurology Solutions Pllc 360 Sherman St Suite 399, Fort Road Medical Center Saint Paul MN 55102-2564 Ph: (651) 356-0136 | Child Neurology Solutions Pllc 360 Sherman St Suite 399, Fort Road Medical Center Saint Paul MN 55102-2564 Ph: (651) 356-0136 |
| NPI Number | 1205200383 |
|---|---|
| Provider Enumeration Date | 11/30/2015 |
| Last Update Date | 11/30/2015 |
| Medicare PECOS PAC ID | 2365747466 |
|---|---|
| Medicare Enrollment ID | O20160229000454 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205200383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | 42885 (Minnesota) | Primary |
| Provider Name | Elizabeth E Gilles |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376647636 PECOS PAC ID: 3072501311 Enrollment ID: I20040504001577 |
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