Individual
DR. GILLIAN ALEX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(617) 775-4573
Mailing address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036147043
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036147043
STATE LICENSE
IL
Enumeration date
06/21/2013
Last updated
05/03/2024
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