KYLE GADBOIS (NPI# 1164718102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164718102 |
Entity Type | Individual |
Full Name | KYLE GADBOIS |
Practice Address |
5616 W 63rd St Chicago IL 60638-5511 |
Mailing Address |
790 Remington Blvd Bolingbrook IL 60440-4909 |
Practice Telephone | 7735265239 |
Enumeration Date | 2011-06-28 |
Last Update Date | 2011-06-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225500000X | Specialist/Technologist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376600346 | Kyle David Gadbois | Surgery | 10710 N Torrey Pines Rd, La Jolla, CA 92037-1035 | 2007-01-02 |
Street Address |
5616 W 63RD ST |
City | CHICAGO |
State | IL |
Zip Code | 60638-5511 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942269261 | Jacqueline Ann Richardson | Specialist/Technologist | 5616 W 63rd St, Chicago, IL 60638-5511 | 2006-03-23 |
1417591538 | Eric Joseph Lebryk | Physical Therapist | 5616 W 63rd St, Chicago, IL 60638-5511 | 2019-10-31 |
1720556665 | Patrick Huang | Physical Therapist | 5616 W 63rd St, Chicago, IL 60638-5511 | 2018-11-08 |
1801246426 | Miguel Santana | Physical Therapy Assistant | 5616 W 63rd St, Chicago, IL 60638-5511 | 2016-06-14 |
1508226986 | Christopher Sullivan | Specialist/Technologist | 5616 W 63rd St, Chicago, IL 60638-5511 | 2016-02-29 |
1467702464 | Margaret Kreimes | Physical Therapist | 5616 W 63rd St, Chicago, IL 60638-5511 | 2012-09-17 |
1669728937 | Brandon Postel | Physical Therapist | 5616 W 63rd St, Chicago, IL 60638-5511 | 2012-07-24 |
1194011163 | Meghan Dolan | Physical Therapist | 5616 W 63rd St, Chicago, IL 60638-5511 | 2011-06-28 |
1861704066 | Ashley L Wolf | Physical Therapist | 5616 W 63rd St, Chicago, IL 60638-5511 | 2010-07-06 |
1487989091 | Vanesia Spencer | Physical Therapist | 5616 W 63rd St, Chicago, IL 60638-5511 | 2009-10-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255931952 | Dawid Bula | Pharmacist | 7090 S Cicero Ave, Bedford Park, IL 60638 | 2020-10-30 |
1386278430 | Adara Simonelli | Physician Assistant | 6317 S Lorel Avenue, Chicago, IL 60638 | 2020-02-27 |
1891343711 | Marie Dipasquale | Technician | 5837 So. Natoma Ave, Chgo, IL 60638 | 2019-09-04 |
1316434400 | Ab Dental Professionals LLC | Dentist | 5672 South Archer Avenue, Chicago, IL 60638 | 2018-04-16 |
1427563204 | Bethany Elkington | Occupational Therapist | 5764 South Archer Ave, Chicago, IL 60638 | 2017-12-03 |
1952759854 | Ismael Gutierrez | Family Medicine | 6084 W Archer Ave, Chicago, IL 60638 | 2016-06-01 |
1336533314 | Claude Lucas King | Counselor | 6235 S Major Ave Apt 1, Chicago, IL 60638 | 2015-03-27 |
1538594395 | Mohammad Joudeh | Chiropractor | 4844 S Cicero Ave, Chicago, IL 60638 | 2013-09-11 |
1548602428 | Clearing Vision Professional Corporation | Optometrist | 5718 W. 63rd St., Chicago, IL 60638 | 2013-07-22 |
1184963134 | Raquel Ana Eguia | Physical Therapist | 5658 S. Parkside Ave, Chicago, IL 60638 | 2013-02-12 |
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Taxonomy Code | 225500000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Specialist/Technologist |
General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083070403 | Katerina Savino | Specialist/Technologist | 3823 N Ashland Ave, Chicago, IL 60613-5828 | 2016-01-14 |
1538329842 | Carlos Andres Vazquez | Specialist/Technologist | 10743 S Avenue L, Chicago, IL 60617-6602 | 2008-06-10 |
1790800043 | Veronica E. Moreno | Specialist/Technologist | 4332 N Elston Ave, Chicago, IL 60641-2144 | 2007-03-19 |
1952901506 | Joan Kristen Riley | Specialist/Technologist | 259 E Erie St Ste 2400, Chicago, IL 60611-3907 | 2020-10-31 |
1366059289 | Jacob Stoner | Specialist/Technologist | 3225 W Foster Ave, Chicago, IL 60625-4823 | 2020-09-24 |
1538527882 | Regnald Harris | Specialist/Technologist | 310 N Loomis St, Chicago, IL 60607-1147 | 2016-02-02 |
1023474806 | Kevin O'malley | Specialist/Technologist | 310 N Loomis St, Chicago, IL 60607-1147 | 2016-01-08 |
1528424660 | Stephen Buskirk | Specialist/Technologist | 310 N Loomis St, Chicago, IL 60607-1147 | 2016-01-05 |
1457526063 | Key I. Nam, Md, Sc. | Specialist/Technologist | 3434 W Peterson Ave, Suite 202, Chicago, IL 60659-3319 | 2008-04-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871139949 | Meryl Swidler | Specialist/Technologist | 44w625 Plato Rd, Burlington, IL 60109-1086 | 2019-11-22 |
1316174493 | David Knight | Specialist/Technologist | 66 Bradford Ln, Mundelein, IL 60060-2073 | 2009-06-16 |
1710147046 | Megan Maria Ziomek-feldman | Specialist/Technologist | 8440 Callie Ave, #301, Morton Grove, IL 60053-5011 | 2008-06-10 |
1215118922 | Angela Sorensen | Specialist/Technologist | 616a W 5th Ave # A, Naperville, IL 60563-2902 | 2007-11-21 |
1174657605 | Kathryn Ruth Schwerman | Specialist/Technologist | 21290 Sylvan Dr S, Mundelein, IL 60060-9518 | 2007-03-15 |
1548318298 | Richa Vohra | Specialist/Technologist | 24039 W Lockport Rd, Plainfield, IL 60544-1832 | 2007-01-08 |
1255300117 | Kenneth A. Stiff | Specialist/Technologist | 500 W Elk Grove Blvd, Elk Grove Village, IL 60007-4272 | 2006-03-14 |
1467811927 | Donna Rathunde | Specialist/Technologist | 9201 Waukegan Rd, Morton Grove, IL 60053-2102 | 2016-02-12 |
1881050698 | George Ashley | Specialist/Technologist | 1900 E Main St, Danville, IL 61832-5100 | 2016-01-08 |
1992194773 | Ericka Doan | Specialist/Technologist | 2988 Court St, Pekin, IL 61554-6229 | 2015-01-15 |
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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.