GREZELRO GONZALES (NPI# 1588030373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588030373 |
| Entity Type | Individual |
| Full Name | GREZELRO GONZALES |
| Credential | FNP-C |
| Practice Address |
840 W Irving Park Rd 301 Chicago IL 60613-3011 |
| Mailing Address |
840 W Blackhawk St 1811 Chicago IL 60642-2592 |
| Practice Telephone | 7739753269 |
| Practice Fax Number | 7739753270 |
| Mailing Telephone | 6308772893 |
| Enumeration Date | 2015-08-15 |
| Last Update Date | 2016-04-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.012989 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
840 W IRVING PARK RD 301 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60613-3011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346298932 | Chicago Prosthetics, Inc | Durable Medical Equipment & Medical Supplies | 840 W Irving Park Rd, Suite 207, Chicago, IL 60613-3011 | 2006-05-05 |
| 1598282329 | Damian Janusz Skalak | Physical Therapist | 840 W Irving Park Rd, Chicago, IL 60613-3011 | 2017-08-23 |
| 1215395652 | Joelle Jackson | Nurse Practitioner | 840 W Irving Park Rd, Suite 301, Chicago, IL 60613-3011 | 2016-01-30 |
| 1356707111 | Lubov Bakman | Clinical Nurse Specialist | 840 W Irving Park Rd, 301, Chicago, IL 60613-3011 | 2016-01-10 |
| 1124412168 | Katie Rahoi | Registered Nurse | 840 W Irving Park Rd, Ste 301, Chicago, IL 60613-3011 | 2015-03-27 |
| 1083005268 | Zivile Calderon | Nurse Practitioner | 840 W Irving Park Rd, Ste 301, Chicago, IL 60613-3011 | 2015-02-10 |
| 1720478829 | Christian De Guia | Nurse Practitioner | 840 W Irving Park Rd, Ste 301, Chicago, IL 60613-3011 | 2015-01-27 |
| 1871983288 | Erin Lark | Nurse Practitioner | 840 W Irving Park Rd, Suite 301, Chicago, IL 60613-3011 | 2015-01-23 |
| 1295159846 | Michele Bey | Nurse Practitioner | 840 W Irving Park Rd, Ste 301, Chicago, IL 60613-3011 | 2014-02-18 |
| 1013253384 | Elena Petrusevska | Physician Assistant | 840 W Irving Park Rd, Ste 301, Chicago, IL 60613-3011 | 2012-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261978 | Thorek Radiology Group Nfp | Radiology | 850 West Irving Park Road, Chicago, IL 60613 | 2020-10-08 |
| 1760034128 | Maryellen Karas Lajeunesse | Social Worker | 3930 N. Pine Grove Ave, #2403, Chicago, IL 60613 | 2019-07-15 |
| 1801366430 | Stephanie A Dykema | Psychologist | 4043 N Ravenswood Ave Suite 302, Chicago, IL 60613 | 2018-11-27 |
| 1487154191 | Alan Tsang | Counselor | 655 W Irving Park Rd Ste 203, Chicago, IL 60613 | 2018-02-19 |
| 1972015782 | Integrated Ortho, LLC. | Durable Medical Equipment & Medical Supplies | 3717 N. Ravenswood Ave, Suite 219w, Chicago, IL 60613 | 2017-11-02 |
| 1073048005 | Claire Jolly | Social Worker | 3701 N Ravenswood Ave Ste 301, Chicago, IL 60613 | 2017-04-27 |
| 1730626011 | Marc Fagan | Psychologist | 4101 N Ravenswood Ave., Chicago, IL 60613 | 2017-01-25 |
| 1205385671 | Sara Turner | Psychologist | 3855 N Greenview Ave # 2a, Chicago, IL 60613 | 2016-09-27 |
| 1962955997 | Michelle Montero | Psychologist | 925 W Dakin St Apt 405, Chicago, IL 60613 | 2016-07-26 |
| 1063883494 | Athletico, Ltd | Physical Therapist | 3922 North Sheridan Rd, Chicago, IL 60613 | 2015-10-12 |
| Find all providers in zip 60613 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
| 1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
| 1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
| 1578163515 | Deanna Bassette | Nurse Practitioner | 243 E 31st St Apt 401, Chicago, IL 60616-5212 | 2020-10-29 |
| 1891395745 | Vrunda Shah Patel | Nurse Practitioner | 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 | 2020-10-29 |
| 1881291706 | Rita Elue | Nurse Practitioner | 6241 N Winthrop Ave Apt 307, Chicago, IL 60660-2071 | 2020-10-04 |
| 1558976514 | Janice Nicole Kinney | Nurse Practitioner | 10127 S Harding Ave, Chicago, IL 60655-3748 | 2020-09-15 |
| 1881209278 | Monique Graves | Nurse Practitioner | 4912 W Adams St Apt 2, Chicago, IL 60644-4445 | 2020-09-11 |
| 1194339721 | Maureen Iyesogie Diji | Nurse Practitioner | 4658 S Ellis Ave, Chicago, IL 60653-3625 | 2020-09-01 |
| 1669085395 | Emily Calderon | Nurse Practitioner | 5556 N Sheridan Rd Apt 506, Chicago, IL 60640-1677 | 2020-08-24 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on GREZELRO GONZALES.
| 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.