Provider Demographics
NPI:1265871867
Name:GILLINGHAM, AKIRA WILLIAM (MD)
Entity type:Individual
Prefix:DR
First Name:AKIRA
Middle Name:WILLIAM
Last Name:GILLINGHAM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:250 E SUPERIOR ST # 5-2370
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2914
Mailing Address - Country:US
Mailing Address - Phone:312-472-3874
Mailing Address - Fax:312-472-3690
Practice Address - Street 1:250 E SUPERIOR ST # 5-2370
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2914
Practice Address - Country:US
Practice Address - Phone:312-472-3874
Practice Address - Fax:312-472-3690
Is Sole Proprietor?:No
Enumeration Date:2013-06-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036.142279207VF0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyUrogynecology and Reconstructive Pelvic Surgery