Douglas Gill Md Sc is a medicare enrolled primary clinic (Family Medicine) in Clarendon Hls, Illinois. The current practice location for Douglas Gill Md Sc is 217 55th St, Clarendon Hls, Illinois. For appointments, you can reach them via phone at
(630) 850-7520. The mailing address for Douglas Gill Md Sc is 217 55th St, Clarendon Hls, Illinois and phone number is (630) 850-7520.
Douglas Gill Md Sc is licensed to practice in Illinois (license number 036068005). The clinic also participates in the medicare program and its
NPI number is 1326032426. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(630) 850-7520.
Primary Care Clinic Profile
| Full Name | Douglas Gill Md Sc |
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| Speciality | Family Medicine |
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| Location | 217 55th St, Clarendon Hls, Illinois |
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| Authorized Official Name and Position | Douglas Arthur Gill (PRESIDENT) |
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| Authorized Official Contact | 6308507522 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Douglas Gill Md Sc
217 55th St
Clarendon Hls
IL 60514-1525
Ph: (630) 850-7520 | Douglas Gill Md Sc
217 55th St
Clarendon Hls
IL 60514-1525
Ph: (630) 850-7520 |
NPI Details:
| NPI Number | 1326032426 |
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| Provider Enumeration Date | 09/02/2005 |
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| Last Update Date | 10/10/2007 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 0345366654 |
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| Medicare Enrollment ID | O20100923001235 |
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Medical Identifiers
Medical identifiers for Douglas Gill Md Sc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1326032426 | NPI | - | NPPES |
| 02201586 | Other | IL | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 036068005 (Illinois) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Douglas Gill Md Sc acts as a billing entity for following providers:
| Provider Name | Douglas Arthur Gill |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1346439668
PECOS PAC ID: 9032235353
Enrollment ID: I20100923001318 |
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