Kathryn Gilliland

NPI 1558793687 · on the registry since 2013 · sole proprietor

Practice

Address: 3470 N Alpine Rd
Rockford, IL 61114
Phone: (815) 639-1015
Organisation at this address: Aegis Group Practice Llc
Fairhaven Christian Retirement Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 235Z00000X
235Z00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2013-07-31

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