Individual
DR. SHEILLAH C GENTILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1001 MAIN ST, SUITE 2E, DYER, IN 46311-1234
(219) 865-9160
(219) 865-9251
Mailing address
1001 MAIN ST, SUITE 2E, DYER, IN 46311-1234
(219) 865-9160
(219) 865-9251
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01050311A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01050311A
STATE LISCENSE
IN
01
—
90001143
BC BS OF IL
IL
Enumeration date
01/11/2007
Last updated
03/07/2023
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