Individual
MR. GILBERT GULBRANDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO
Contact information
Practice address
2615 THREE OAKS RD, SUITE 2B, CARY, IL 60013
(847) 639-4140
(847) 639-4140
Mailing address
2615 THREE OAKS RD, SUITE 2B, CARY, IL 60013
(847) 639-4140
(847) 639-4140
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
213000033
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
364056537001
—
IL
Enumeration date
10/31/2006
Last updated
10/15/2012
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