DR. CHRISTOPHER MICHAEL GILLETTE (NPI# 1326045675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326045675 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER MICHAEL GILLETTE |
| Credential | PHARM D., BCPP |
| Practice Address |
228 Ne Jefferson Ave Peoria IL 61603-3639 |
| Mailing Address |
3514 E Pineridge Dr Chillicothe IL 61523-9113 |
| Practice Telephone | 3096718000 |
| Practice Fax Number | 3096713711 |
| Mailing Telephone | 3095798319 |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1300X |
Pharmacist Specialization: Psychiatric |
IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760761720 | Christopher J Gillette | Dentist | 5610 Ward Rd Ste 120, Arvada, CO 80002-1309 | 2011-08-09 |
| Street Address |
228 NE JEFFERSON AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61603-3639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427603935 | Jonathan William Mooney | Nurse Practitioner | 228 Ne Jefferson Ave, Peoria, IL 61603-3802 | 2019-08-02 |
| 1215488697 | Jacqueline Jones Toal | Nurse Practitioner | 228 Ne Jefferson Ave, Peoria, IL 61603-3802 | 2016-10-20 |
| 1588013783 | Krystyn Gunther | Counselor | 228 Ne Jefferson Ave, Peoria, IL 61603-3802 | 2016-06-08 |
| 1578940557 | Human Service Center | Community/Behavioral Health | 228 Ne Jefferson Ave, Peoria, IL 61603-3802 | 2015-04-29 |
| 1679826887 | Cynthia L Gilmer | Counselor | 228 Ne Jefferson Ave, Peoria, IL 61603-3802 | 2012-10-25 |
| 1922351139 | Lyuba Z Shur | Counselor | 228 Ne Jefferson Ave, Peoria, IL 61603-3802 | 2012-10-25 |
| 1922311679 | Human Service Center | Community/Behavioral Health | 228 Ne Jefferson Ave, Peoria, IL 61603-3802 | 2010-07-23 |
| 1679719777 | Suparna Basu | Psychiatry & Neurology | 228 Ne Jefferson Ave, Peoria, IL 61603-3802 | 2008-12-21 |
| 1104941657 | George Kenneth Shotick Jr. | Family Medicine | 228 Ne Jefferson Ave, Peoria, IL 61603-3802 | 2007-03-20 |
| 1306880281 | Narayana Reddy | Psychiatry & Neurology | 228 Ne Jefferson Ave, Peoria, IL 61603-3802 | 2006-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598362980 | Courtney Klein | Nurse Practitioner | 1306 N. Berkley Ave, Peoria, IL 61603 | 2020-10-08 |
| 1114588217 | Kong Xing Wang | Dentist | 320 East Armstrong Ave, Peoria, IL 61603 | 2019-06-28 |
| 1073015319 | Sara Kristine Rosenbery | Nurse Practitioner | 515 Ne Glen Oak Ave Ste 202, Peoria, IL 61603 | 2018-03-02 |
| 1861860058 | Jennifer Michelle Kelsey | Clinical Nurse Specialist | 420 Ne Glen Oak Avenue, Suite 401, Peoria, IL 61603 | 2015-09-04 |
| 1467859793 | Bonnie Lansing | Counselor | 617 N Gendale Avenue, Behavioral Health Adult Program, Peoria, IL 61603 | 2014-12-02 |
| 1639597172 | Jael K. Mahasi | Counselor | 1800 Ne Perry Avenue, Peoria, IL 61603 | 2014-04-02 |
| 1992054829 | Justin S Ferragut | Radiology | 530 Northeast Glen Oak Avenue, Peoria, IL 61603 | 2012-09-06 |
| 1780952994 | Syed Muhammad Tayyab | Internal Medicine | 828 Ne Glen Oak Ave Apt No208a, Peoria, IL 61603 | 2011-12-02 |
| 1528389079 | St. Francis Medical Center | General Acute Care Hospital | 530 N E Glen Oak Ave, Peoria, IL 61603 | 2010-06-18 |
| 1780810648 | Children's Home Association of Illinois | Voluntary or Charitable | 400 E. Frye, Peoria, IL 61603 | 2009-06-05 |
| Find all providers in zip 61603 | ||||
| Taxonomy Code | 1835P1300X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Psychiatric |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972950442 | Norman Howard Leeds | Pharmacist | 5 Grenadier Ct, Lincolnshire, IL 60069-3343 | 2016-05-15 |
| 1144600693 | Tatiana Mauda | Pharmacist | 1310 W 18th St Apt 3b, Chicago, IL 60608-3132 | 2015-05-30 |
| 1558640656 | David G. Fuentes Jr. | Pharmacist | 1400 N Roosevelt Blvd, 245, Schaumburg, IL 60173-4377 | 2011-08-08 |
| 1518044098 | Todd Paul Semla | Pharmacist | 2732 Lincolnwood Dr, Evanston, IL 60201-1229 | 2006-11-01 |
| 1881695708 | Jennifer L Zacher | Pharmacist | 852 S West St, Naperville, IL 60540-6400 | 2005-08-02 |
| 1407853609 | Randy Dale Malan | Pharmacist | 401 N 4th St, First Floor, Springfield, IL 62702-5255 | 2005-07-01 |
| 1588280937 | Laine Ferrill | Pharmacist | 820 S Damen Ave, Chicago, IL 60612-3728 | 2020-06-22 |
| 1568990802 | Amy Butz | Pharmacist | 820 S Damen Ave, Chicago, IL 60612-3728 | 2017-05-31 |
| 1477838886 | Jamie C Holmes | Pharmacist | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2011-10-17 |
| 1841525847 | Brad S Koechle | Pharmacist | 401 N 4th St, Springfield, IL 62702-5205 | 2009-10-08 |
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| 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.