JEFFREY DAVID GURTIZEN (NPI# 1922395763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922395763 |
| Entity Type | Individual |
| Full Name | JEFFREY DAVID GURTIZEN |
| Credential | D.O. |
| Practice Address |
4282 E Rockton Rd Roscoe IL 61073 |
| Mailing Address |
Po Box 78866 Milwaukee WI 53278-8866 |
| Practice Telephone | 7796969000 |
| Mailing Telephone | 7796967150 |
| Mailing Fax Number | 7796967342 |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2018-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036-136236 | IL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | OT014384 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
4282 E ROCKTON RD |
| City | ROSCOE |
| State | IL |
| Zip Code | 61073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134168586 | Gayle R Crays | Family Medicine | 4282 E Rockton Rd, Roscoe, IL 61073 | 2006-06-04 |
| 1437719291 | Dakota L Felckowski | Nurse Practitioner | 4282 E Rockton Rd, Roscoe, IL 61073-7420 | 2019-06-14 |
| 1356850739 | Tonya L Tidwell | Registered Nurse | 4282 E Rockton Rd, Roscoe, IL 61073-7420 | 2017-09-28 |
| 1295188803 | Nicole M Milani | Registered Nurse | 4282 E Rockton Rd, Roscoe, IL 61073-7420 | 2016-07-19 |
| 1386054062 | Swedishamerican Hospital | Internal Medicine | 4282 E Rockton Rd, Roscoe, IL 61073 | 2014-05-02 |
| 1841600715 | Amanda Huber | Registered Nurse | 4282 E Rockton Rd, Roscoe, IL 61073 | 2014-05-01 |
| 1770915589 | Syeda Roshan | Podiatrist | 4282 E Rockton Rd, Roscoe, IL 61073 | 2013-08-02 |
| 1902035777 | Manika Bhateja | Pediatrics | 4282 E Rockton Rd, Roscoe, IL 61073 | 2009-07-14 |
| 1598701088 | Tarek Samir Harb | Obstetrics & Gynecology | 4282 E Rockton Rd, Roscoe, IL 61073 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396234746 | Zachary J Rio | Physical Therapist | 4675 Bluestem Rd Ste 1, Roscoe, IL 61073 | 2018-05-01 |
| 1548702954 | Vicki Foti | Registered Nurse | 4828 Rockton Road, Roscoe, IL 61073 | 2016-11-16 |
| 1174074975 | James B Garrison | Social Worker | 11447 2nd St, Ste 9b, Roscoe, IL 61073 | 2016-10-18 |
| 1932457355 | Annie Pamela Stephens | Chiropractor | 11673 Main St., Roscoe, IL 61073 | 2012-08-15 |
| 1255602819 | Trent Michael Hippard | Chiropractor | 15724 B Elevator Rd, Roscoe, IL 61073 | 2012-01-13 |
| 1689856437 | Martha M Muldowney | Dentist | 5464 Pine Lane, Roscoe, IL 61073 | 2007-12-04 |
| 1396885794 | Richard Scott Newcomb | Optometrist | 11710 Main St Suite 2, Roscoe, IL 61073 | 2007-02-07 |
| 1356459754 | Margaret Allensworth Franklin | Counselor | 9830 Double Ditch Circle, Roscoe, IL 61073 | 2006-08-26 |
| 1811002660 | Cjn Therapy Services LLC | Counselor | 5334 Williams Drive, Roscoe, IL 61073 | 2006-08-20 |
| 1033142575 | Trina Renee Morgan | Chiropractor | 5724 B Elevator Rd, Roscoe, IL 61073 | 2006-07-08 |
| Find all providers in zip 61073 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942304456 | Katerina C Doronila-hughes | Family Medicine | 4682 E Rockton Rd, Suite 102, Roscoe, IL 61073-7475 | 2006-09-13 |
| 1679684211 | Marchele A Bowen | Family Medicine | 5005 Hononegah Rd, Roscoe, IL 61073-8682 | 2006-08-31 |
| 1134168586 | Gayle R Crays | Family Medicine | 4282 E Rockton Rd, Roscoe, IL 61073 | 2006-06-04 |
| 1659635092 | Luan Elezi | Family Medicine | 5605 E Rockton Rd, Northpointe Clinic, Roscoe, IL 61073-7601 | 2012-06-29 |
| 1962557678 | Swedishamerican Hospital | Family Medicine | 5005 Hononegah Rd, Roscoe, IL 61073-8682 | 2007-01-24 |
| 1922152990 | Swedishamerican Hospital | Family Medicine | 5005 Hononegah Rd, Roscoe, IL 61073-8682 | 2007-01-23 |
| 1437167277 | Marek S Bentkowski | Family Medicine | 5605 E. Rockton Road, Northpointe Clinic, Roscoe, IL 61073-7601 | 2006-08-04 |
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|---|---|---|---|---|
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| 1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
| 1790390805 | Kimberly Hannah Kupferberg | Family Medicine | 1103 Schaeffer Rd, Long Grove, IL 60047-5153 | 2020-09-15 |
| 1194330977 | Home Doctors for You | Family Medicine | 670 Illinois Blvd, Hoffman Est, IL 60169-3363 | 2020-09-09 |
| 1245844489 | Jovita Zalwango Nassolo | Family Medicine | 116 1/2 N Benton St Apt 2d, Woodstock, IL 60098-3272 | 2020-09-04 |
| 1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
| 1417565755 | Ghr Total Health and Consulting | Family Medicine | 11336 Mckenna Dr, Frankfort, IL 60423-8096 | 2020-07-22 |
| 1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
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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.