Individual
BRIDGET AGNES GULLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
25 N WINFIELD RD, WINFIELD, IL 60190-1295
(630) 933-4700
(630) 933-4721
Mailing address
25 N WINFIELD RD, WINFIELD, IL 60190-1295
(630) 933-4700
(630) 933-4721
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036127363
IL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
036127363
IL
208M00000X
Hospitalist Physician
036127363
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036127363
—
IL
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
206147076
MEDICARE PTAN (GROUP)
IL
01
—
CA4748
MEDICARE RAILROAD PTAN (GROUP)
IL
01
—
P01013435
MEDICARE RAILROAD PTAN (INDIVIDUAL)
IL
Enumeration date
07/13/2008
Last updated
02/01/2024
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