TONDALAYA L. GAMBLE (NPI# 1154334209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154334209 |
Entity Type | Individual |
Full Name | TONDALAYA L. GAMBLE |
Credential | MD |
Practice Address |
1000 Central St Suite 730 Evanston IL 60201-1777 |
Mailing Address |
2650 Ridge Ave Evanston Hospital Evanston IL 60201-1718 |
Practice Telephone | 8475702750 |
Practice Fax Number | 8475701386 |
Mailing Telephone | 8475702040 |
Mailing Fax Number | 8475702040 |
Enumeration Date | 2006-08-13 |
Last Update Date | 2015-10-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207V00000X | Obstetrics & Gynecology | 036092816 | IL | Allopathic & Osteopathic Physicians |
Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
036092816 | IL | Allopathic & Osteopathic Physicians |
Street Address |
1000 CENTRAL ST SUITE 730 |
City | EVANSTON |
State | IL |
Zip Code | 60201-1777 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912907247 | Ella Komarovsky | Psychiatry & Neurology | 1000 Central St, Evanston, IL 60201-1777 | 2005-07-28 |
1194247726 | Steve Uliana | Speech-Language Pathologist | 1000 Central St, Evanston, IL 60201-1777 | 2017-07-14 |
1275066060 | Shayna Purcell | Genetic Counselor, MS | 1000 Central St, Suite 620, Evanston, IL 60201-1777 | 2017-04-07 |
1013361807 | Brittany Jo Madden | Genetic Counselor, MS | 1000 Central St, Suite #620, Evanston, IL 60201-1777 | 2016-04-18 |
1124489794 | Amy Michele Robke | Speech-Language Pathologist | 1000 Central St, Suite 101, Evanston, IL 60201-1777 | 2016-03-10 |
1245690742 | Elizabeth Hodits | Speech-Language Pathologist | 1000 Central St, Evanston, IL 60201-1777 | 2016-02-26 |
1235598038 | Meghann Olive | Speech-Language Pathologist | 1000 Central St, Evanston, IL 60201-1777 | 2016-02-22 |
1588083257 | Shilpa Shankar | Pediatrics | 1000 Central St, Evanston, IL 60201-1777 | 2014-04-10 |
1164848040 | Adele Maday | Physical Therapist | 1000 Central St, Evanston, IL 60201-1777 | 2014-03-15 |
1003230251 | Erin Mohip | Specialist | 1000 Central St, Suite 101, Evanston, IL 60201-1777 | 2014-02-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356962898 | Sebastian Andres Cruz | Internal Medicine | Northshore University Healthsystem, Off of Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2020-05-06 |
1053970442 | Wade Gilman | Family Medicine | 1650 Ridge Ave, Ste 1304, Evanston, IL 60201 | 2019-06-10 |
1922577949 | Elizabeth Wilton Therapy, LLC | Counselor | 2901a Central St Ste 3, Evanston, IL 60201 | 2018-11-20 |
1952887812 | Sg Wellness LLC | Clinic/Center | 3008 Central Street, Evanston, IL 60201 | 2018-07-13 |
1689169591 | Michael Kert Zijlstra | Internal Medicine | Northshore University Healthsystem Office of Academic, Affairs 2650 Ridge Ave, Suite 1304, Evanston, IL 60201 | 2018-06-25 |
1982199725 | Elizabeth Hannah Lees | Internal Medicine | Northshore University Healthsystem Office of Academic A, 2650 Ridge Ave Suite 1304, Evanston, IL 60201 | 2018-06-25 |
1730674565 | Ashley Elizabeth Aller | Internal Medicine | Northshore University Healthsystem, Office Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2018-06-25 |
1669967683 | Ayush N Shah | Internal Medicine | 2650 Ridge Ave Ste 5315, Evanston, IL 60201 | 2018-06-22 |
1811481062 | Jeffrey D. Brow | Internal Medicine | 2650 Ridge Ave Rm 5315, Evanston, IL 60201 | 2018-06-20 |
1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
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Taxonomy Code | 207VF0040X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Female Pelvic Medicine and Reconstructive Surgery |
A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265871867 | Akira William Gillingham | Obstetrics & Gynecology | 250 E Superior St # 5-2370, Chicago, IL 60611-2914 | 2013-06-18 |
1285733139 | Roger P Goldberg | Obstetrics & Gynecology | 9650 Gross Point Rd Fl 3, Skokie, IL 60076 | 2006-09-21 |
1700984408 | Peter Kevin Sand | Obstetrics & Gynecology | 9650 Gross Point Rd # 3900, Skokie, IL 60076 | 2006-09-20 |
1700146826 | Carol Emi Bretschneider | Obstetrics & Gynecology | 676 N Saint Clair St Ste 950, Chicago, IL 60611-2955 | 2012-05-23 |
1033400957 | Anne Galanti Sammarco | Obstetrics & Gynecology | 1725 W Harrison St Ste 1138, Chicago, IL 60612-3845 | 2011-04-26 |
1841599255 | Sonia Dutta | Obstetrics & Gynecology | 9650 Gross Point Rd Ste 3900, Skokie, IL 60076-1214 | 2011-03-24 |
1912227463 | Tanaka Junior Dune | Obstetrics & Gynecology | 2160 S 1st Ave, Loyola University Medical Center, Maywood, IL 60153 | 2010-06-08 |
1346570405 | Margaret G Mueller | Obstetrics & Gynecology | 676 N Saint Clair St, Suite 950, Chicago, IL 60611-2927 | 2010-01-12 |
1275704256 | Adam Gafni-kane | Obstetrics & Gynecology | 9650 Gross Point Rd Ste 3900, Skokie, IL 60076 | 2008-03-18 |
1124173851 | Swedishamerican Hospital | Obstetrics & Gynecology | 209 9th St, Suite 200, Rockford, IL 61104 | 2007-01-24 |
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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.