MICHAEL T. GILLAM

EVANSTON, IL
NPI1013092188
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: IL  036099418)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: VA  0101283367)
Enumeration Date2006-10-26
Last Update Date2025-10-01
Business Address
MICHAEL T. GILLAM M.D.
2650 RIDGE AVE EMERGENCY MEDICINE RM G909
EVANSTON, IL 60201-1718
Phone number: 847-570-2114
Mailing Address
MICHAEL T. GILLAM M.D.
2650 RIDGE AVE
EVANSTON, IL 60201-1700
Phone number: 847-570-1644