Individual
KATIE ANITA GILLIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
0S036 CHURCH ST STE 300, WINFIELD, IL 60190-1203
(331) 732-4600
(331) 732-4602
Mailing address
0S036 CHURCH ST STE 300, WINFIELD, IL 60190-1203
(331) 732-4600
(331) 732-4602
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085006447
IL
Other
Enumeration date
11/03/2015
Last updated
09/25/2023
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