Individual
GILLIAN GUTOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
800 BIESTERFIELD RD, ELK GROVE VILLAGE, IL 60007-3361
(847) 981-3599
Mailing address
30 E CENTRAL AVE, LOMBARD, IL 60148-3930
(630) 251-4801
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
PA57972
CA
363A00000X
Physician Assistant
Primary
085007305
IL
363A00000X
Physician Assistant
098131
IA
363A00000X
Physician Assistant
PA.0004883
CO
Other
Enumeration date
09/15/2015
Last updated
04/16/2024
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