Terri Jo Gillette, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038010842 Issued in IL

Practice address

1013 Liberty St
Apt. 104 D
Morris, IL 60450-1510

Phone

(815) 941-5117

Fax

(815) 941-5118

NPI assigned

Dec 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Leading Edge Health & Wellness Diagnostic Center

  • Chiropractor
  • Morris, IL
  • NPI 1043438476
  NPD (past) Authorized official

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1821152133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 LITTLE WILLOW RD",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604506849",
            "telephone_number": "815-941-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 LIBERTY ST",
            "address_2": "APT. 104 D",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501510",
            "telephone_number": "815-941-5117",
            "fax_number": "815-941-5118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLETTE",
        "first_name": "TERRI",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Germane Nephrology Associates
• Jonathon A Gholson
• John Thomas Giannone, O.D.
• Mark Gibson, M.D.
• Courtney L Gigler
• Reilly Glefke
• Rifki J. Goldin Mertdogan, M.D.
• Kimberly Gomez
• Good Night Sleep Center LLC
• Janice Grant, LCSW

• Chiropractor in Morris, IL
• Providers in Morris, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.