Autumn Gillibrand, DPT is a
Physical Therapist based in Le Roy, Illinois. Autumn Gillibrand is licensed to practice in Illinois (license number 070021382) and her current practice location is
200 E Cedar St, Suite C, Le Roy, Illinois. She can be reached at her office (for appointments etc.) via phone at
(309) 962-3240.
NPI number for Autumn Gillibrand is 1407237936 and her current mailing address is 790 Remington Blvd, Bolingbrook, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407237936.
Healthcare Provider's Profile
Full Name | Autumn Gillibrand |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 200 E Cedar St, Le Roy, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1407237936
- Provider Enumeration Date: 06/10/2015
- Last Update Date: 12/12/2016
Medical Identifiers
Medical identifiers for Autumn Gillibrand such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407237936 | NPI | - | NPPES |
1407801012 | Other | IL | GROUP NPI |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 070021382 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Autumn Gillibrand is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Autumn Gillibrand, DPT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (630) 296-2223 | Autumn Gillibrand, DPT 200 E Cedar St, Suite C, Le Roy, IL 61752-1902 Ph: (309) 962-3240 |
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