Jacqueline Gill, PT, DPT
Individual provider Active NPI Physical Therapist · Chillicothe, IL
NPI 1609464338 · NPPES record last updated Jan 7, 2021
Key facts
- NPI
- 1609464338
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070.020067 (IL)
- Practice address
- 1028 W Hillcrest Dr
Chillicothe, IL 61523-2258 - Phone
- (309) 274-2194
- NPI assigned
- Jan 7, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.020067 | IL | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.020067 | IL | Yes |
Addresses
Primary practice location
1028 W Hillcrest Dr
Chillicothe, IL 61523-2258
Mailing address
300 S Pine St
Washington, IL 61571-2644
Phone (309) 531-8149
Other providers in Chillicothe, IL
- Susan M Donoho
- Maureen E Donovan
- Kristin Duffy
- First Community Care, LLC
- Timothy James Freund
- Amanda Giltner
- Crystal Carin Hackett
- Glenna Katrina Hagan
- Heritage Manor Chillicothe, LLC
- Heritage Manor Chillicothe, LLC
All providers in Chillicothe, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2021. 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.