Individual
MRS. BARBARA ANN GILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
905 17TH ST, PORT BYRON, IL 61275-9520
(309) 269-3943
(309) 496-2001
Mailing address
905 17TH ST, PORT BYRON, IL 61275-9520
(309) 269-3943
(309) 496-2001
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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