GOOSEBERRY INC. (NPI# 1639715949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639715949 |
| Entity Type | Organization |
| Organization Name | GOOSEBERRY INC. |
| Practice Address |
5632 Virginia Ave Clarendon Hills IL 60514-1517 |
| Practice Telephone | 2248320121 |
| Mailing Telephone | 2248320121 |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2019-11-21 |
| Authorized Official Name | GENE KRUHLY (DIRECTOR) |
| Authorized Official Telephone | 2248360121 |
| Authorized Official Credential | PT, DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Street Address |
5632 VIRGINIA AVE |
| City | CLARENDON HILLS |
| State | IL |
| Zip Code | 60514-1517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528434727 | Margaret Kehoe Kruhly | Physical Therapist | 5632 Virginia Ave, Clarendon Hills, IL 60514-1517 | 2015-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285104844 | Michele Blidy | Occupational Therapist | 215 55th Street, Clarendon Hills, IL 60514 | 2018-11-27 |
| 1073093845 | Leah Tarabour | Speech-Language Pathologist | 49 Waverly Ave, Clarendon Hills, IL 60514 | 2018-08-20 |
| 1376022467 | Barbara Case Boules | Dietitian, Registered | 229 Park Avenue, Apt. 202, Clarendon Hills, IL 60514 | 2018-08-09 |
| 1942790647 | Weston Shelton | Chiropractor | 140 Burlington Ave, Clarendon Hills, IL 60514 | 2018-05-17 |
| 1700052834 | Donald V Maduzia O.d. P.C. | Optometrist | 203 Railroad Avenue, Clarendon Hills, IL 60514 | 2008-05-08 |
| 1134325673 | Pamela A Sirtak | Counselor | 284 Woodstock, 2c, Claredon Hills, IL 60514 | 2007-06-22 |
| 1538389531 | John Peter Wortel | Dentist | 235 Burlington Avenue, Clarendon Hills, IL 60514 | 2007-05-01 |
| 1164649778 | Jenny Scaffede | Pharmacist | 3020 S Wolf Road, Westchester, IL 60514 | 2007-04-18 |
| 1245388842 | Charles Philippou | Optometrist | 403 E Ogden, Clarendon Hills, IL 60514 | 2007-01-08 |
| 1518049626 | Donald Maduzia | Optometrist | 203 Railroad Drive, Donald Maduzia Od, Clarendon Hills, IL 60514 | 2006-10-19 |
| Find all providers in zip 60514 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
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| 1093320855 | Rci (wrs), LLC. | Clinic/Center | 17 West 580 Butterfield Road, Oakbrook Terrace, IL 60181 | 2020-09-09 |
| 1558975706 | Rci (wrs), LLC. | Clinic/Center | 370 Bank Dr, Mchenry, IL 60050-0506 | 2020-09-04 |
| 1588278741 | Rci (wrs), LLC. | Clinic/Center | 1151 S State St, Chicago, IL 60605-2304 | 2020-09-04 |
| 1487268553 | Rci (wrs), LLC. | Clinic/Center | 15 Tower Ct Ste 235, Gurnee, IL 60031-3354 | 2020-09-04 |
| 1285248351 | Rci (wrs), LLC. | Clinic/Center | 884 S Rand Rd Ste A, Lake Zurich, IL 60047-3412 | 2020-09-04 |
| 1295349355 | Rci (wrs), LLC. | Clinic/Center | 140 N Addison Ave Fl 2, Elmhurst, IL 60126-2810 | 2020-09-04 |
| 1043824287 | Rci (wrs), LLC. | Clinic/Center | 1525 E 55th St Ste 305, Chicago, IL 60615-5576 | 2020-09-04 |
| 1396359469 | Rci (wrs), LLC. | Clinic/Center | 939 W North Ave Ste 300, Chicago, IL 60642-7139 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
| City | CLARENDON HILLS |
| Zip Code | 60514 |
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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.