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Individual

HARRISON JAMES GILLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
3505 COLLEGE AVE STE B, ALTON, IL 62002-5065
(618) 462-9695
Mailing address
PO BOX 825159, PHILADELPHIA, PA 19182-5159
(866) 626-1540

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
016.006103
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016.006103
IL

Other

Enumeration date
04/18/2022
Last updated
01/02/2026
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