Provider Demographics
NPI:1932693975
Name:GILL, NAVNEET (MD)
Entity Type:Individual
Prefix:MS
First Name:NAVNEET
Middle Name:
Last Name:GILL
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 1:2525 SOUTH MICHIGAN AVE. MERCY HOSPITAL AND MEDICAL CEN
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60616
Mailing Address - Country:US
Mailing Address - Phone:312-567-2053
Mailing Address - Fax:
Practice Address - Street 1:2525 S. MICHIGAN AVE.
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60616
Practice Address - Country:US
Practice Address - Phone:312-567-2053
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-21
Last Update Date:2019-03-11
Deactivation Date:2019-02-13
Deactivation Code:
Reactivation Date:2019-03-11
Provider Licenses
StateLicense IDTaxonomies
IL125.072493207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine