Individual
EMMANUELLE GILLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 GRAND AVE STE 101, ENGLEWOOD, NJ 07631-6300
(201) 567-5787
(201) 567-7652
Mailing address
120 W 22ND ST, OAK BROOK, IL 60523-1557
(630) 573-5000
(630) 368-0280
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
244806
NY
207RN0300X
Nephrology Physician
Primary
244806
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03285430
—
NY
Enumeration date
05/03/2007
Last updated
08/22/2025
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