Dan Gill Therapy LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

180.004320 Issued in IL

Legal business name

DAN GILL THERAPY LLC

Practice address

1830 Sherman Ave
#406
Evanston, IL 60201-3798

Phone

(847) 293-6290

NPI assigned

Jul 27, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Dan Gordon Gill, LCPC

Title

Owner/Psychotherapist

Phone

(847) 293-6290

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Gordon Gill, LCPC

  • Professional Counselor
  • Evanston, IL
  • NPI 1235277070
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437955200000",
    "number": "1457736993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 SHERMAN AVE",
            "address_2": "#406",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013798",
            "telephone_number": "847-293-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 SHERMAN AVE",
            "address_2": "#406",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013798",
            "telephone_number": "847-293-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAN GILL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-07-27",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "847-293-6290",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "180.004320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyson Daker, APN
• Taryn Susan Dal Degan, DPT, ATC, LAT
• Lauren Elizabeth Daly, DPT
• Rachel Marie Damato, LSW
• Kathleen H Dameron, PT
• Dan J Nykaza DDS LTD
• Dana Podell Physical Therapy & Yoga LLC
• Ruxandra Maria Dane, D.O.
• Pushpa Dangi
• Daniel John Wilke, D.C., P.a.

• Community/Behavioral Health Agency in Evanston, IL
• Providers in Evanston, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.