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Organization

CHARLES S GILBERT JR

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES S GILBERT MD (SOLE PROPRIETOR)
(312) 263-5455
Entity
Organization

Contact information

Practice address
2600 S MICHIGAN AVE, SUITE 410, CHICAGO, IL 60616-2857
(312) 263-5455
Mailing address
777 OAKMONT LN, SUITE 1600, WESTMONT, IL 60559-5511
(630) 789-2550

Taxonomy

Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
31600607
BCBS PROVIDER ID
IL
Enumeration date
09/21/2006
Last updated
01/16/2008
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