MRS. RUTHIE CELESTINE GAVIN


Address: 12251 S 80th Ave, Palos Heights, IL 60463
Phone: 6302571111

MRS. RUTHIE CELESTINE GAVIN (NPI# 1205393014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205393014
Entity Type Individual
Full Name MRS. RUTHIE CELESTINE GAVIN
Credential FNP-BC
Practice Address 12251 S 80th Ave
Palos Heights
IL 60463
Mailing Address 12251 S 80th Ave Ste 1630
Palos Heights
IL 60463-1256
Practice Telephone 6302571111
Practice Fax Number 6302571115
Mailing Telephone 7089235173
Mailing Fax Number 7089235018
Enumeration Date 2019-02-28
Last Update Date 2019-06-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WH0200X Registered Nurse
Specialization: Home Health
041.322139 IL Nursing Service Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
209.019276 IL Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
4609 W Spencer Ln, Alsip, IL 608032766 7732976779

Office Location

Street Address 12251 S 80TH AVE
City PALOS HEIGHTS
State IL
Zip Code 60463

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457359465 Kurt J Wagner Emergency Medicine 12251 S 80th Ave, Palos Heights, IL 60463-1256 2005-07-13
1558972364 Anu J Stephen Nurse Practitioner 12251 S 80th Ave, Palos Heights, IL 60463-1256 2020-08-14
1730799651 Ruby Noemi Meyer Nurse Practitioner 12251 S 80th Ave, Palos Heights, IL 60463-1256 2020-08-05
1306489711 Allison Marie Reid Nurse Practitioner 12251 S 80th Ave, Palos Heights, IL 60463-1256 2019-10-18
1548829450 Christina Gavoni Nurse Practitioner 12251 S 80th Ave, Palos Heights, IL 60463-1256 2019-06-13
1033775945 Valerie R Giannini Nurse Practitioner 12251 S 80th Ave, Palos Heights, IL 60463-1256 2019-05-15
1073074894 Jessica Marie Kubicki Nurse Practitioner 12251 S 80th Ave, Palos Heights, IL 60463-1256 2019-03-26
1609332188 Maria Veronica Tarala Nurse Practitioner 12251 S 80th Ave, Palos Heights, IL 60463-1256 2019-02-20
1578029013 Michelle Katherine Panek Nurse Practitioner 12251 S 80th Ave, Palos Heights, IL 60463-0930 2019-02-19
1831669365 Krista M Zajac Registered Nurse 12251 S 80th Ave, Palos Heights, IL 60463-1256 2018-11-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932756095 Kim Rusiecki Technician 25 Parliament Drive East, Palos Heights, IL 60463 2019-08-23
1265925218 Sentinel Anesthesia of Illinois, PC Anesthesiology 7340 W College Dr Fl 1, Palos Heights, IL 60463 2018-06-13
1225410848 Deborah Ann Castaneda Skilled Nursing Facility 12350 Natchez Ave., Palos Heights, IL 60463 2015-06-19
1609253160 Tareq Ayyad Physical Therapy Assistant 11730 Lighthouse Ln, Palos Heights, IL 60463 2015-05-04
1366846503 Ryan Teahen Dentist 7600 W College Dr Ste 17, Palos Heights, IL 60463 2014-10-17
1295140309 Paul Park Ophthalmology 7600 W College Dr Ste 9, Palos Heights, IL 60463 2014-06-26
1275976045 Nazim A. Khan Physician Assistant 6450 West College Drive, Palos Heights, IL 60463 2013-04-11
1619246824 Amanda M Ejka Psychologist 11800 South 75th Avenue, Suite 300, Palos Heights, IL 60463 2011-12-16
1578832937 Sandi Maheras Pharmacist 1703 Spyglass Cir, Palos Heights, IL 60463 2011-12-14
1043597065 Ashraf Olwan Pharmacist 7660 W Sequoia Rd, Palos Heights, IL 60463 2011-11-04
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Taxonomy Information

Taxonomy Code 163WH0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Home Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1821699877 Lauren Elizabeth Danzie Registered Nurse 4319 Mann St, Oak Forest, IL 60452-4328 2020-11-05
1184249328 Ibg Home Nursing LLC Registered Nurse 3422 W 137th St, Robbins, IL 60472-1606 2020-06-13
1457975245 Deborah Marie Moore-thompson Registered Nurse 9413 S Throop St, Chicago, IL 60620-3625 2020-06-08
1932723988 Mercy Reigns Homecare Services Ltd Registered Nurse 3116 Prairie St, Aurora, IL 60506-9229 2020-06-05
1760017917 Vince Jude Ehrenberg Registered Nurse 5536 N Virginia Ave, Chicago, IL 60625-3918 2020-03-09
1609416270 Mackenzie Rutledge Registered Nurse 24761 W Russell Ln, Mundelein, IL 60060-9598 2020-01-13
1922641513 Janthina Suzel Olascoaga Registered Nurse 3723 W 70th St, Chicago, IL 60629-4232 2019-10-25
1487110896 Gail Briggs Registered Nurse 1219 E 170th St, South Holland, IL 60473-3588 2019-02-11
1326502998 Joanna E Tedford Registered Nurse 4174 Starlight Ave, Decatur, IL 62526-1290 2019-01-28
1982188546 Nancy Yee Registered Nurse 1332 N Burling St, Chicago, IL 60610-5265 2018-09-19
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Competitor

Search similar providers

City PALOS HEIGHTS
Zip Code 60463

Improve Information

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Dataset Information

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.

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