Individual
CATHERINE GILLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 FOXFIELD RD STE 102, ST CHARLES, IL 60174-5799
(630) 377-1188
Mailing address
2900 FOXFIELD RD STE 102, ST CHARLES, IL 60174-5799
(630) 377-1188
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
160008573
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160008573
STATE LICENSE
IL
Enumeration date
03/14/2022
Last updated
03/14/2022
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