GURNEE STONE MEDICAL CENTER P.C (NPI# 1205005717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205005717 |
| Entity Type | Organization |
| Organization Name | GURNEE STONE MEDICAL CENTER P.C |
| Practice Address |
7505 Grand Ave Gurnee IL 60031-1551 |
| Mailing Address |
7505 W. Grand Ave Gurnee IL 60031 |
| Practice Telephone | 8478567615 |
| Mailing Telephone | 8478567615 |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2008-02-28 |
| Authorized Official Name | DR. RAJESH SHARMA (MANAGER) |
| Authorized Official Telephone | 8478567615 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | PC ID | 65986329 | 01 |
| Street Address |
7505 GRAND AVE |
| City | GURNEE |
| State | IL |
| Zip Code | 60031-1551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114924552 | Lake Shore Internal Medicine Sc | Internal Medicine | 7505 Grand Ave, Gurnee, IL 60031-1551 | 2005-06-30 |
| 1912325796 | Shelly Verma | Family Medicine | 7505 Grand Ave, Gurnee, IL 60031 | 2014-03-31 |
| 1407295371 | David Morris Adlerstein | Family Medicine | 7505 Grand Ave, Gurnee, IL 60031-1551 | 2013-06-24 |
| 1841556735 | Cynthia Yvonne Abban | Dermatology | 7505 Grand Ave, Gurnee, IL 60031-1551 | 2012-04-05 |
| 1871873778 | Amg Illinois Ltd | Durable Medical Equipment & Medical Supplies | 7505 Grand Ave, Gurnee, IL 60031-1551 | 2011-08-23 |
| 1942446752 | Excell Medical Center Sc | Health Maintenance Organization | 7505 Grand Ave, Gurnee, IL 60031-1551 | 2008-12-29 |
| 1659547172 | Gurnee Stone Medical Center PC | Health Maintenance Organization | 7505 Grand Ave, Gurnee, IL 60031-1551 | 2008-05-05 |
| 1922286210 | Gurnee Surgicare LLC | Clinic/Center | 7505 Grand Ave, Gurnee, IL 60031-1551 | 2008-02-08 |
| 1487774238 | Stone Medical Surgery Care Center LLC | Clinic/Center | 7505 Grand Ave, Gurnee, IL 60031-1551 | 2007-03-29 |
| 1104824085 | Elizabeth A Hatfield | Emergency Medicine | 7505 Grand Ave, Gurnee, IL 60031-1551 | 2005-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881174720 | Rockelle Waggoner | Behavioral Analyst | 489 Tanglewood Dr, Gurnee, IL 60031 | 2018-08-20 |
| 1316434376 | Lake County Internal Medicine Assoc LLC | Non-Pharmacy Dispensing Site | 15 Tower Ct., Ste 190, Gurnee, IL 60031 | 2018-04-16 |
| 1588163364 | Advanced Endodontics, PC | Dentist | 103 S. Greenleaf Street, Suite K, Gurnee, IL 60031 | 2018-02-07 |
| 1578081550 | Northshore Medical Consultants, Ltd | Family Medicine | 1425 Hunt Club Rd. #302, Gurnee, IL 60031 | 2017-08-30 |
| 1336678739 | Sarah Beth Fugelseth | Nurse Practitioner | 1445 N Hunt Club Rd Ste 304, Gurnee, IL 60031 | 2017-06-08 |
| 1174079867 | Lifecarepros, LLC | In Home Supportive Care | 223 North Route 21, Gurnee, IL 60031 | 2016-09-01 |
| 1740733195 | Ryan Lee Winslow | Chiropractor | 6021 Washington St, Unit B, Gurnee, IL 60031 | 2016-08-02 |
| 1891129599 | Smart Scan Mri, LLC | Clinic/Center | 350 S. Greenleaf, Suite 401, Gurnee, IL 60031 | 2013-08-29 |
| 1568720076 | Yudelca Romano | Genetic Counselor, MS | 1125 Tri State Parkway, Gurnee, IL 60031 | 2012-05-03 |
| 1558637348 | Laura E Novak | Social Worker | 4212 Old Grand Avenue, Gurnne, IL 60031 | 2012-03-27 |
| Find all providers in zip 60031 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811154024 | Towne Vision Center,ltd | Clinic/Center | 7105 Grand Ave, Suite 2e, Gurnee, IL 60031-1604 | 2008-05-16 |
| 1780820647 | Healthvision Medical Services Sc | Clinic/Center | 15 Tower Ct, Suite 210, Gurnee, IL 60031-3336 | 2008-12-24 |
| 1316111388 | Rashmikant S.patel M.d.s.c. | Clinic/Center | 20 Tower Ct, Suite D, Gurnee, IL 60031-5711 | 2008-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033724901 | Ar Healthcare | Clinic/Center | 11 E Main St Ste A, St Charles, IL 60174-1925 | 2020-09-08 |
| 1568073674 | Downers Grove Immediate Care Inc. | Clinic/Center | 425 Ogden Ave, Downers Grove, IL 60515-3066 | 2020-08-12 |
| 1538792221 | Greenbax Health Solutions, LLC | Clinic/Center | 4922 W Chicago Ave, Chicago, IL 60651-3142 | 2020-02-20 |
| 1548808728 | Unitypoint Health At Work | Clinic/Center | 1100 13th Ave, East Moline, IL 61244-1455 | 2019-12-18 |
| 1265076749 | Inhome Primecare LLC | Clinic/Center | 6738 N Lockwood Ave, Lincolnwood, IL 60712-3107 | 2019-10-29 |
| 1033760780 | Careatc | Clinic/Center | 600 S Michigan Ave # 402, Chicago, IL 60605-1900 | 2019-09-24 |
| 1356814503 | Thompson Medical Incorporated | Clinic/Center | 933 E Hyde Park Blvd Ste G, Chicago, IL 60615-2722 | 2019-01-09 |
| 1598248106 | Granite City Clinic Corp | Clinic/Center | 602 Farrish St, Madison, IL 62060-1567 | 2018-09-10 |
| 1497251037 | Thomas L Pitts, Md LLC | Clinic/Center | 233 E Erie St Ste 702, Chicago, IL 60611-5933 | 2018-04-03 |
| 1013438704 | Emily Byars | Clinic/Center | 1111 Greenfield Circle, Geneva, IL 60134 | 2017-07-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.