MRS. GABRIELLE M MUDRAK (NPI# 1295827319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295827319 |
Entity Type | Individual |
Full Name | MRS. GABRIELLE M MUDRAK |
Credential | RN |
Practice Address |
3 S Greenleaf St Suite A Gurnee IL 60031-3377 |
Mailing Address |
33640 N Almond Rd Grayslake IL 60030-1802 |
Practice Telephone | 8472440222 |
Practice Fax Number | 8472447122 |
Mailing Telephone | 8473679484 |
Enumeration Date | 2006-09-28 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WW0101X |
Registered Nurse Specialization: Women's Health Care, Ambulatory |
IL | Nursing Service Providers |
Street Address |
3 S GREENLEAF ST SUITE A |
City | GURNEE |
State | IL |
Zip Code | 60031-3377 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649271123 | Nejd F Alsikafi | Urology | 3 S Greenleaf St, Suite J, Gurnee, IL 60031-3377 | 2005-08-09 |
1366084477 | Christine Wilson | Registered Nurse | 3 S Greenleaf St, Gurnee, IL 60031-3377 | 2019-10-09 |
1548820137 | Women's Healthcare Group of Illinois Sc | Clinic/Center | 3 S Greenleaf St, Gurnee, IL 60031-3377 | 2019-06-17 |
1013390491 | Julia Firlit Buesser | Nurse Practitioner | 3 S Greenleaf St, Ste J, Gurnee, IL 60031-3377 | 2015-07-03 |
1083877690 | Charisse Hudson-quigley | Obstetrics & Gynecology | 3 S Greenleaf St, Suite A, Gurnee, IL 60031-3377 | 2008-07-03 |
1679792394 | Sutchin Patel | Urology | 3 S Greenleaf St, Ste. J, Gurnee, IL 60031-3377 | 2007-04-24 |
1518027812 | Uropartners LLC | Urology | 3 S Greenleaf St, Ste J, Gurnee, IL 60031-3377 | 2006-12-10 |
1497813018 | Associates for Womens Health, S.c. | Obstetrics & Gynecology | 3 S Greenleaf St, Sutie A, Gurnee, IL 60031-3377 | 2006-12-05 |
1508958836 | June M Homan | Nurse Practitioner | 3 S Greenleaf St, Suite A, Gurnee, IL 60031-3377 | 2006-09-28 |
1447360425 | Vidya Jaganath Puthenveetil | Internal Medicine | 3 S Greenleaf St, Suite J, Gurnee, IL 60031-3377 | 2006-08-30 |
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 | 163WW0101X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Women's Health Care, Ambulatory |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780052027 | Amie K. Hernandez | Registered Nurse | 6 Westport Ct, Bloomington, IL 61704-8233 | 2015-09-03 |
1871112755 | Fatima Khemani | Registered Nurse | 1645 W Jackson Blvd Ste 310, Chicago, IL 60612-3227 | 2020-04-10 |
1245774132 | Adrienn Myers-woods | Registered Nurse | 751 N Rutledge St, Suite 0100, Springfield, IL 62702-4968 | 2016-12-12 |
1043677529 | Tammy Chavarria | Registered Nurse | 10811 W 143rd St, Orland Park, IL 60467-1913 | 2016-01-28 |
1316254287 | Stacy Ann Roher | Registered Nurse | 900 N. 1st Street, Springfield, IL 62702-3749 | 2010-09-13 |
1639401409 | Danielle Landgrebe | Registered Nurse | 350 W Carpenter St, Springfield, IL 62702-4902 | 2010-02-04 |
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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.