Active NPI
David J Gilmore, P.A.-C
- Physician Assistant
- Joliet, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 08500645
- Practice address
- 333 N Madison St
Joliet, IL 60436 - Phone
- (815) 725-7133
- NPI assigned
- Nov 1, 2006
- Last updated
- Jan 30, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 08500645 | IL | Primary |
Addresses
Primary practice location
333 N Madison St
Joliet, IL 60436
Mailing address
1333 N Oakley Blvd
Chicago, IL 60622-3049
Phone (954) 377-2380
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08500645 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care PA | Current | Accepting new patients | |
| American Current Care of Illinois PC | Current | Accepting new patients | |
| American Current Care P.a. | Current | Accepting new patients | |
| First Choice Occupational Health, LLC. | Past | Accepting new patients | |
| Emergency Room Care Providers, S.C. | Past | Accepting new patients | |
| Prairie Emergency Services, SC | Past | Accepting new patients | |
| Fastrac Medical, P.C. | Past | 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
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Concentra Immediate Care
- Urgent Care Clinic/Center
- Addison, TX
- NPI 1285071241
IL
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Addison, TX
- NPI 1013194455
IN
-
- Urgent Care Clinic/Center
- Chicago, IL
- NPI 1205814118
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Beaumont, TX
- NPI 1376356568
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1417990219
-
- Emergency Medicine Physician
- Joliet, IL
- NPI 1659517597
-
- Occupational Medicine Clinic/Center
- Naperville, IL
- NPI 1245502616
-
- Emergency Medicine Physician
- Joliet, IL
- NPI 1497753917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.