Individual
GERALD CAHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3700 W 203RD ST STE 302, OLYMPIA FIELDS, IL 60461-1182
(708) 679-2120
(708) 503-3230
Mailing address
35318 EAGLE WAY, CHICAGO, IL 60678-1353
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01058798A
IN
208600000X
Surgery Physician
Primary
036068765
IL
208C00000X
Colon & Rectal Surgery Physician
01058798A
IN
208C00000X
Colon & Rectal Surgery Physician
036068765
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036068765
—
IL
05
—
200511540
—
IN
01
—
F400340959
INDIVIDUAL MEDICARE PTAN SPECIALTY PHYSICIANS OF ILLINOIS
IL
Enumeration date
08/23/2006
Last updated
04/14/2023
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