DR. MARK CHRISTOPHER GILLIS (NPI# 1992806509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992806509 |
| Entity Type | Individual |
| Full Name | DR. MARK CHRISTOPHER GILLIS |
| Credential | MD |
| Practice Address |
150 E Willow Ave Wheaton IL 60187-5476 |
| Mailing Address |
1860 Payshere Circle Chicago IL 60674-0001 |
| Practice Telephone | 6305106900 |
| Mailing Telephone | (630) 545-6016 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2017-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036078671 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036078671 | 05 | |
| MEDICARE GROUP PTAN | 399980 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790326619 | Mark Stephen Gillis | Pharmacist | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2019-10-02 |
| 1154390177 | Mark Robert Gillis | Anesthesiology | 1600 W Antelope Dr, Layton, UT 84041 | 2006-03-14 |
| Street Address |
150 E WILLOW AVE |
| City | WHEATON |
| State | IL |
| Zip Code | 60187-5476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154974194 | Tyler Munson | Physical Therapist | 150 E Willow Ave, Wheaton, IL 60187-5476 | 2019-07-18 |
| 1518497932 | Kimberly Alcock | Physical Therapist | 150 E Willow Ave, Wheaton, IL 60187-5476 | 2017-06-18 |
| 1043751753 | Dupage Medical Group, Ltd | Durable Medical Equipment & Medical Supplies | 150 E Willow Ave, Suite 110, Wheaton, IL 60187-5476 | 2017-03-14 |
| 1417301599 | Mary Mekheil | Pharmacist | 150 E Willow Ave, Wheaton, IL 60187-5476 | 2016-04-14 |
| 1891174660 | Dupage Medical Group, Ltd. | Prosthetic/Orthotic Supplier | 150 E Willow Ave, Suite 110, Wheaton, IL 60187-5476 | 2015-05-26 |
| 1023309838 | Eva R Chatman | Family Medicine | 150 E Willow Ave, Wheaton, IL 60187 | 2011-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811510738 | Arielle Susan Kalvelage | Counselor | Central Public Health Center (cphc), 111 N. County Farm Road, Wheaton, IL 60187 | 2020-05-27 |
| 1801418363 | Peter Gerard Harvey | Acupuncturist | 200 East Willow Avenue, Suite 202, Wheaton, IL 60187 | 2020-05-07 |
| 1760028823 | Teresa Clasen | Counselor | 222 Willow Ave, Wheaton, IL 60187 | 2019-11-25 |
| 1821630757 | Eastern Healing Inc. | Acupuncturist | 200 E. Willow Ave., Suite 202, Wheaton, IL 60187 | 2019-10-11 |
| 1952816282 | Caprishea Jones | Counselor | 111 N County Farm Road, Wheaton, IL 60187 | 2017-12-08 |
| 1265880330 | Bryan Cairncross | Specialist/Technologist | 1503 Beecher Ave., Wheaton, IL 60187 | 2016-05-31 |
| 1811357544 | Patricia Diaz | Nurse Practitioner | 0n620 West Street, Wheaton, IL 60187 | 2016-02-23 |
| 1962819227 | Breakthrough Care Center | Clinic/Center | 150 E. Willow Ave, Ste 100, Wheaton, IL 60187 | 2014-07-18 |
| 1780005587 | Kyler Mulhauser | Counselor | 600 W. Roosevelt Rd, Suite A2, Wheaton, IL 60187 | 2013-12-20 |
| 1538593074 | Deborah Bates | Psychologist | 300 E Roosevelt Rd Ste 105, Wheaton, IL 60187 | 2013-08-31 |
| Find all providers in zip 60187 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023599198 | Thrive Life Wellness Center Inc | Family Medicine | 933 W Liberty Dr, Wheaton, IL 60187-4846 | 2018-08-27 |
| 1922496496 | Adventist Health Partners, Inc. | Family Medicine | 1147 E Butterfield Rd, Wheaton, IL 60189 | 2015-01-06 |
| 1982925657 | Kate H.a. Liu | Family Medicine | 2001 Wiesbrook Rd, Wheaton, IL 60189 | 2010-06-17 |
| 1427202589 | Anthony John Tedeschi | Family Medicine | 115 Christina Cir, Wheaton, IL 60189-3115 | 2008-11-15 |
| 1649394040 | Richard Patrick Delaney | Family Medicine | 3929 Ferrara Drive, Connecticut Belair Medical Park, Wheaton, MD 20906 | 2007-03-19 |
| 1376672188 | Jesus Alberto Gamez II | Family Medicine | 11141 Georgia Ave, Suite 508, Wheaton, MD 20902-4637 | 2007-03-05 |
| 1699801472 | Joseph M Nemeth | Family Medicine | 122 S County Farm Rd, Ste A, Wheaton, IL 60187-4594 | 2007-02-26 |
| 1306971627 | Center for Health and Healing, S.c. | Family Medicine | 2150 Manchester Rd, Ste 101, Wheaton, IL 60187-4598 | 2007-02-23 |
| 1164504874 | Thomas F Drost Jr. | Family Medicine | 721 E Roosevelt Rd, Wheaton, IL 60187-5646 | 2006-10-20 |
| 1194756023 | James F Carsten | Family Medicine | 1800 N Main St Ste 102, Wheaton, IL 60187-3112 | 2006-07-06 |
| Find all providers in WHEATON | ||||
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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.