Todd Anthony Gill, D.C.
Individual provider Active NPI Sports Physician Chiropractor · Mount Carmel, IL
NPI 1063477263 · NPPES record last updated Sep 9, 2010
Key facts
- NPI
- 1063477263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sports Physician Chiropractor 111NS0005X
- License
- 038-008367 (IL)
- Practice address
- 616 N Market St
Mount Carmel, IL 62863-1459 - Phone
- (618) 262-2225
- Fax
- (618) 262-2880
- NPI assigned
- Apr 19, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 038-008367 | IL | Yes |
Addresses
Primary practice location
616 N Market St
Mount Carmel, IL 62863-1459
Mailing address
616 N Market St
Mount Carmel, IL 62863-1459
Phone (618) 262-2225
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350051877 | Other | IL | RAILROAD MEDICARE |
Other providers in Mount Carmel, IL
- Susan Lynn Fuller-Keneipp
- Julko E Fullop
- Angela Gaddis
- General Baptist Nursing Home of Illinois
- General Baptist Nursing Home, Inc.
- Katie Glenn
- Julie Marie Goldman
- Madeline Goldman
- Casey Joe Griffith
- Kendra S Grounds
All providers in Mount Carmel, IL · Sports Physician Chiropractor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.