Individual provider · Type 1 NPI

Reginald Jean Gilles

Student in an Organized Health Care Education/Training Program · Loves Park, IL

NPI number 1245171883 Active

Practice location

7702 N Alpine Rd
Loves Park, IL 61111-3107

Fax (815) 971-9795

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1245171883

Reginald Jean Gilles's National Provider Identifier is 1245171883, issued on Apr 6, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Loves Park, IL. The record was last updated on Apr 6, 2026.