Provider Demographics
NPI:1285270983
Name:PALMERIN, GILLIAN MARGARET (PT)
Entity type:Individual
Prefix:MS
First Name:GILLIAN
Middle Name:MARGARET
Last Name:PALMERIN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 W 55TH PL
Mailing Address - Street 2:
Mailing Address - City:COUNTRYSIDE
Mailing Address - State:IL
Mailing Address - Zip Code:60525-3411
Mailing Address - Country:US
Mailing Address - Phone:107-083-6919
Mailing Address - Fax:
Practice Address - Street 1:1300 W 55TH PL
Practice Address - Street 2:
Practice Address - City:COUNTRYSIDE
Practice Address - State:IL
Practice Address - Zip Code:60525-3411
Practice Address - Country:US
Practice Address - Phone:708-369-1917
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-18
Last Update Date:2019-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist