Molly Ann Gill, B.A.

Key facts

NPI

1659534451

Entity type

Individual (NPI type 1)

Primary specialty

Rehabilitation Counselor 225C00000X

Practice address

302 S H St
Tilton, IL 61833-7827

Phone

(217) 597-9113

NPI assigned

Jul 2, 2008

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

Credentials

Bachelor of Arts

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 2, 2008.

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1659534451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 S H ST",
            "city": "TILTON",
            "state": "IL",
            "postal_code": "618337827",
            "telephone_number": "217-597-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S H ST",
            "city": "TILTON",
            "state": "IL",
            "postal_code": "618337827",
            "telephone_number": "217-597-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "MOLLY",
        "middle_name": "ANN",
        "credential": "B.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Tilton, IL · Rehabilitation Counselor in Illinois