Individual
ALAN R GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW,SAP.,MSW
Contact information
Practice address
12255 S 80TH AVE, SUITE 202, PALOS HEIGHTS, IL 60463
(708) 923-7878
(708) 923-7888
Mailing address
12255 S 80TH AVE, SUITE 202, PALOS HEIGHTS, IL 60463
(708) 923-7878
(708) 923-7888
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
149002385
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0991516762
BCBS
IL
05
—
149002385
—
IL
01
—
219043
MAGELLAN
IL
01
—
266167
VALUE BEHAVIORAL
IL
01
—
363827229
WPS
IL
01
—
800011385
RR MEDICARE
IL
Enumeration date
10/02/2006
Last updated
07/08/2007
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