Provider Demographics
NPI:1316142045
Name:GEHLMANN, LOUISA K (MD)
Entity type:Individual
Prefix:DR
First Name:LOUISA
Middle Name:K
Last Name:GEHLMANN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 145
Mailing Address - Street 2:
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60522-0145
Mailing Address - Country:US
Mailing Address - Phone:630-325-6880
Mailing Address - Fax:630-325-5975
Practice Address - Street 1:901 N ELM ST.
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-1806
Practice Address - Country:US
Practice Address - Phone:630-325-6880
Practice Address - Fax:630-325-5975
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-21
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036050514207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILC43986Medicare UPIN
IL617110Medicare ID - Type Unspecified
ILC43986Medicare UPIN