Individual
DR. ANDREA EVE GILLIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
3248 N CENTRAL AVE, CHICAGO, IL 60634-4312
(773) 282-3777
(773) 282-9410
Mailing address
3248 N CENTRAL AVE, CHICAGO, IL 60634-4312
(773) 282-3777
(773) 282-9410
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
1000-25
WI
213EP1101X
Primary Podiatric Medicine Podiatrist
016005330
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
16005330
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016005330
—
IL
05
—
1134338809
—
IA
05
—
1134338809
—
WI
01
—
P01788700
RAILROAD MEDICARE
IA
Enumeration date
05/21/2007
Last updated
04/05/2017
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