MARY GILLAM


Address: 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611-4546
Phone: 3126959797

MARY GILLAM (NPI# 1588695084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588695084
Entity Type Individual
Full Name MARY GILLAM
Credential MD
Practice Address 680 N Lake Shore Dr
Suite 1000
Chicago
IL 60611-4546
Practice Telephone 3126959797
Mailing Telephone 3126959797
Enumeration Date 2006-07-05
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
IL Allopathic & Osteopathic Physicians

Office Location

Street Address 680 N LAKE SHORE DR
SUITE 1000
City CHICAGO
State IL
Zip Code 60611-4546

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427052885 Jeanette A. Dubay-mcdermit Nurse Anesthetist, Certified Registered 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611-4546 2005-06-13
1023621406 Akshar Patel Student in an Organized Health Care Education/Training Program 680 N Lake Shore Dr, Tower Apt 720, Chicago, IL 60611 2020-08-26
1952873267 Kimberly Sumislawski Physician Assistant 680 N Lake Shore Dr, Chicago, IL 60611-4546 2018-12-27
1598251571 Asia Giammarco Physician Assistant 680 N Lake Shore Dr, Chicago, IL 60611-4546 2018-07-02
1497253256 Samantha M C Tan Nurse Practitioner 680 N Lake Shore Dr, Chicago, IL 60611-4546 2018-01-26
1871040642 Kathleen Dady Genetic Counselor, MS 680 N Lake Shore Dr, Suite 1230, Chicago, IL 60611-4546 2016-09-08
1205382496 Rachel Green Dunn Nurse Practitioner 680 N Lake Shore Dr, Suite 117, Chicago, IL 60611-4546 2016-08-29
1730634791 Kelly Elizabeth Smyth Physician Assistant 680 N Lake Shore Dr, Chicago, IL 60611 2016-08-19
1982158036 Patricia Gale, Md, S.c. Clinic/Center 680 N Lake Shore Dr, Suite 930, Chicago, IL 60611-4546 2016-08-06
1013460930 Julia Goldin Registered Nurse 680 N Lake Shore Dr, Chicago, IL 60611-4546 2016-07-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861092835 Lauren Less Social Worker 111 East Pearson St, Chicago, IL 60611 2020-10-29
1134735962 Kalvin Cheuk Hang Lung Student in an Organized Health Care Education/Training Program 675 N St Clair St 17th Floor, Chicago, IL 60611 2020-09-17
1487267845 Ashley Marie Sablich Student in an Organized Health Care Education/Training Program 250 E Huron Street, Suite 1-200, Chicago, IL 60611 2020-08-26
1245854033 Danielle Humphrey Student in an Organized Health Care Education/Training Program Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 2020-06-08
1801418074 Sana Healing Collective Clinic/Center 405 N. Wabash Street, Chicago, IL 60611 2020-05-11
1194359489 Insight:eating Disorders, Weight Management & Psychological Centers Psychiatric Hospital 1 E. Erie Street, 4th Floor, Chicago, IL 60611 2020-02-26
1902439193 Iwona Boska Nurse Practitioner 676 N St.clair Street, Suite 2140, Chicago, IL 60611 2020-02-17
1922643576 Sarah Elizabeth Schwartzer Audiologist Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 2019-11-07
1023668852 Anne Marguerite Davidson Student in an Organized Health Care Education/Training Program Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 2019-09-13
1871141085 Coast Management Durable Medical Equipment & Medical Supplies 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 2019-08-30
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Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356961304 Wahid Kassar Md Ltd Internal Medicine 7447 W Talcott Ave Ste 444, Chicago, IL 60631-3715 2020-04-20
1356861496 Javier Alcid Duron Tabora Internal Medicine 1725 W Harrison St Ste 250-a, Chicago, IL 60612-3841 2017-06-20
1336676923 Villagemd Indiana, PC Internal Medicine 1 N Franklin St Ste 1205, Chicago, IL 60606 2017-05-15
1174975601 Bilal Shaikh Internal Medicine 1750 W Harrison St Ste 250, Chicago, IL 60612 2016-07-08
1316396294 Melissa Faye Cohen Internal Medicine 835 S. Wolcott Street, Suite E625, M/c 640, Chicago, IL 60612 2016-06-10
1649618455 Laura Thomason Dickens Internal Medicine 5758 S Maryland Ave # Mc1027, Chicago, IL 60637-1426 2013-06-13
1447593223 Pinky Kurani Internal Medicine 2315 E 93rd St Ste 440, Chicago, IL 60617 2013-03-31
1255610622 Farheen Kassim Dojki Internal Medicine 1801 W Taylor St Ste 1c, Chicago, IL 60612-4795 2011-08-16
1518282847 Victoria Trendafilova Internal Medicine 835s Wolcott Ave 625e, Chicago, IL 60612-3748 2010-03-30
1023253531 Stuart A Fine Internal Medicine 55 E Erie St, #3305, Chicago, IL 60611-2798 2008-12-12
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City CHICAGO
Zip Code 60611

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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