DR. GWENDOLYN MASON FISKE (NPI# 1962737379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962737379 |
| Entity Type | Individual |
| Full Name | DR. GWENDOLYN MASON FISKE |
| Credential | PH.D. |
| Practice Address |
1047 Darrow Ave Evanston IL 60202 |
| Mailing Address |
5225 Old Orchard Rd Ste 17 Skokie IL 60077-1027 |
| Practice Telephone | 8472716840 |
| Mailing Telephone | 8479830107 |
| Enumeration Date | 2009-10-03 |
| Last Update Date | 2018-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
1047 DARROW AVE |
| City | EVANSTON |
| State | IL |
| Zip Code | 60202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548889496 | Ktsmiles, Inc | Clinic/Center | 2408 Main Street, Evanston, IL 60202 | 2020-04-10 |
| 1831751163 | Dorcas Matowe | Marriage & Family Therapist | The Family Institute, 618 Library Place, Evanston, IL 60202 | 2019-07-08 |
| 1457847170 | Lilah Handler | Social Worker | 905 Forest Ave, Apt 1, Evanston, IL 60202 | 2018-07-05 |
| 1528574472 | Jessica Kubacki | Developmental Therapist | 535 Hinman Ave Apt F3, Evanston, IL 60202 | 2017-12-14 |
| 1376075853 | Lisa Meyerson Acupuncture | Acupuncturist | 1234 Sherman Avenue, Lighthouse Yoga and Acupuncture, Evanston, IL 60202 | 2017-04-03 |
| 1427597368 | Lillian Obucina Dds PC | Dentist | 111 North Wabash, Suite 1522, Chicago, IL 60202 | 2017-02-13 |
| 1184176893 | Amelia Willcox | Speech-Language Pathologist | 620 Sheridan Square, Apartment 1, Evanston, IL 60202 | 2016-10-28 |
| 1831547785 | Thomas Hagerty Jr. | Pharmacist | 2491 W Howard St, Evanston, IL 60202 | 2016-06-01 |
| 1013361948 | Autism Hope Support | In Home Supportive Care | 815 Seward Apt. 1s, Evanston, IL 60202 | 2016-04-18 |
| 1215302625 | Preferred Dentistry Associates, LLC | Dentist | 1029 Howard Street, Evanston, IL 60202 | 2015-12-10 |
| Find all providers in zip 60202 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699299313 | Bridges Habilitation Services, Inc. | Specialist | 1425 Highway 150 S Ste 2, Evanston, WY 82930-5377 | 2017-08-03 |
| 1689027609 | Adam Zastrow | Specialist | 834 Seward St Apt 1, Evanston, IL 60202-5322 | 2016-07-14 |
| 1366839912 | Marie Doyle | Specialist | 2203 Central St, Apt. 1, Evanston, IL 60201-5718 | 2015-04-21 |
| 1124433248 | Foundation for Medical Development In Central Europe Inc | Specialist | 1927 Sherman Ave Apt 3n, Evanston, IL 60201-3229 | 2014-06-26 |
| 1790109684 | Haley Zimmerman | Specialist | 2307 Central St Apt 2, Evanston, IL 60201-5730 | 2014-02-12 |
| 1497030068 | Jack Cooksey | Specialist | 2505 Lawndale Ave, Evanston, IL 60201-1157 | 2011-10-14 |
| 1376830240 | Megan Romero | Specialist | 2663 Prairie Ave, Apt 3, Evanston, IL 60201-5744 | 2011-06-29 |
| 1225330046 | Alison Lynn Velasco | Specialist | 2316 Prospect Ave., Evanston, IL 60201-1838 | 2010-11-30 |
| 1629382858 | Thomas J Chorba Md Sc | Specialist | 1101 Howard Street, Suite 105, Evanston, IL 60202 | 2010-07-29 |
| 1063645810 | Cherie Monique Adams | Specialist | 510 Kedzie St, Floor 1, Evanston, IL 60202-2306 | 2009-08-27 |
| Find all providers in EVANSTON | ||||
Please comment or provide details below to improve the information on DR. GWENDOLYN MASON FISKE.
| 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.