Individual
LAUREN DARDANES GILMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1700
(847) 570-1700
(224) 251-4575
Mailing address
2650 RIDGE AVE, EVANSTON, IL 60201-1700
(847) 570-1700
(224) 251-4575
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209021736
IL
363LG0600X
Gerontology Nurse Practitioner
23128
SC
363LG0600X
Gerontology Nurse Practitioner
71014083A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP6377
—
SC
01
—
SCG5087628
MEDICARE PIN
SC
Enumeration date
10/28/2019
Last updated
07/07/2023
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