Individual provider Active NPI

David J Gilmore, P.A.-C

  • Physician Assistant
  • Joliet, IL
National Provider Identifier
1184701922
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
08500645 Issued in IL
Practice address
333 N Madison St
Joliet, IL 60436
Phone
(815) 725-7133
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20061213000280 IL Practitioner - Physician Assistant 3274532692 Reassigns benefits to 2 organizations
I20140521000433 IN Practitioner - Physician Assistant 3274532692 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
08500645ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care P.a. CurrentSince Dec 31, 2025 Accepting new patients
American Current Care PA CurrentSince Dec 31, 2025 Accepting new patients
American Current Care of Illinois PC CurrentSince Dec 31, 2025 Accepting new patients
Prairie Emergency Services, SC Past Accepting new patients
First Choice Occupational Health, LLC. Past Accepting new patients
Fastrac Medical, P.C. Past Accepting new patients
Emergency Room Care Providers, S.C. PastSince Jul 25, 2019 Accepting new patients

Locations

1030 W Chicago Ave
Chicago, IL 60642
Phone (312) 243-0028

10137 Grand Ave
Franklin Park, IL 60131
Phone (847) 451-7590

6423 Columbia Ave
Ste A
Hammond, IN 46320
Phone (219) 937-3632

5604 W 74th St
Indianapolis, IN 46278
Phone (317) 290-1551

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 08500645 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

333 N Madison St
Joliet, IL 60436

Mailing address

1333 N Oakley Blvd
Chicago, IL 60622-3049
Phone (954) 377-2380

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 30, 2009.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233273600000",
    "number": "1184701922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 N OAKLEY BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223049",
            "telephone_number": "954-377-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N MADISON ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "60436",
            "telephone_number": "815-725-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "08500645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.