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Individual

CHAD R GILLILAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT ATC

Contact information

Practice address
3206 WILD MEADOW LN, AURORA, IL 60504-5159
(630) 334-2686
(630) 898-2687
Mailing address
3206 WILD MEADOW LN, AURORA, IL 60504-5159
(630) 334-2686
(630) 898-2687

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070010917
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
IL3802001
MEDICARE
IL
Enumeration date
04/19/2006
Last updated
04/29/2013
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