Search › Illinois › 103K00000X

Jacqueline Gilliam

NPI 1548513542 · on the registry since 2012 · sole proprietor

Practice

Address
1929 Pickett St
Springfield, IL 62703
Phone
(217) 801-7895

Registry record

Primary taxonomy
103K00000X
103K00000X
Sex
Female
Record last updated
2012-10-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois