Individual
MICHAEL T. GILLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2650 RIDGE AVE, EMERGENCY MEDICINE RM G909, EVANSTON, IL 60201-1718
(847) 570-2114
(847) 570-1223
Mailing address
2650 RIDGE AVE, EVANSTON, IL 60201-1700
(847) 570-1644
(847) 733-5315
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101283367
VA
207P00000X
Emergency Medicine Physician
Primary
036099418
IL
Other
Enumeration date
10/26/2006
Last updated
10/01/2025
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