Provider Demographics
NPI:1801185822
Name:GIL, FULVIO ROBERTO (MD, MSC)
Entity type:Individual
Prefix:DR
First Name:FULVIO
Middle Name:ROBERTO
Last Name:GIL
Suffix:
Gender:M
Credentials:MD, MSC
Other - Prefix:
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Mailing Address - Street 1:2180 PFINGSTEN RD
Mailing Address - Street 2:SUITE 2000
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60026-1339
Mailing Address - Country:US
Mailing Address - Phone:847-570-2570
Mailing Address - Fax:847-832-6135
Practice Address - Street 1:2180 PFINGSTEN RD
Practice Address - Street 2:SUITE 2000
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60026-1339
Practice Address - Country:US
Practice Address - Phone:847-570-2570
Practice Address - Fax:847-832-6135
Is Sole Proprietor?:No
Enumeration Date:2011-03-30
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL0361412252084N0400X
IL036.1412252084V0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084V0102XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular Neurology
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036141225OtherSTATE LICENSE