DR. GAURAV KAPOOR (NPI# 1245225192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245225192 |
| Entity Type | Individual |
| Full Name | DR. GAURAV KAPOOR |
| Credential | MD |
| Practice Address |
375 N Wall St Ste 310 Kankakee IL 60901 |
| Mailing Address |
1000 Remington Blvd Ste 100 Bolingbrook IL 60440-4707 |
| Practice Telephone | 8159363240 |
| Practice Fax Number | 8159363243 |
| Mailing Fax Number | 6309142469 |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2018-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
036118921 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS IL | 4632011 | 01 |
| IL | 0361182921 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1710 W Court St, Kankakee, IL 609013160 | 8159363200 | 8159363203 |
| 100 Provena Way Ste C, Bourbonnais, IL 609144798 | 8159363200 | 8159363203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548794563 | Gaurav Kapoor | Student in an Organized Health Care Education/Training Program | 27005 76th Ave, New Hyde Park, NY 11040 | 2017-04-17 |
| Street Address |
375 N WALL ST STE 310 |
| City | KANKAKEE |
| State | IL |
| Zip Code | 60901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841285301 | Roger Leon Taylor | Obstetrics & Gynecology | 375 N Wall St, Suite P410, Kankakee, IL 60901-3483 | 2005-09-12 |
| 1497112684 | Julie Richardson | Nurse Practitioner | 375 N Wall St, Kankakee, IL 60901-3483 | 2016-01-20 |
| 1871824987 | Emily C Rodriguez | Physician Assistant | 375 N Wall St, Suite P530, Kankakee, IL 60901-3483 | 2010-01-29 |
| 1740434760 | Hearing Things, Inc. | Hearing Aid Equipment | 375 N Wall St, Suite P620, Kankakee, IL 60901-3483 | 2008-11-05 |
| 1649422619 | Kristin Marie Balthazor | Physician Assistant | 375 N Wall St, Ste P530, Kankakee, IL 60901 | 2008-10-21 |
| 1891964649 | Patricia Joan Croix | Audiologist-Hearing Aid Fitter | 375 N Wall St, Suite P620, Kankakee, IL 60901-3483 | 2008-02-26 |
| 1235349598 | Vikas K. Patel | Internal Medicine | 375 N Wall St, Ste 310, Kankakee, IL 60901-3483 | 2007-05-23 |
| 1063538312 | Med-peds Associates,p.c. | Internal Medicine | 375 N Wall St, Ste P520, Kankakee, IL 60901-3483 | 2007-03-21 |
| 1730212309 | Nicole S. Nettgen | Advanced Practice Midwife | 375 N Wall St, Suite P630, Kankakee, IL 60901-3483 | 2007-03-13 |
| 1669556593 | John V Jurica | Family Medicine | 375 N Wall St, Suite P510, Kankakee, IL 60901-3483 | 2006-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978841 | William Mitsos Dds | Dentist | 1291 S. 7th Ave, Kankakee, IL 60901 | 2020-09-30 |
| 1922653682 | Jody Mcguyer, Lcpc, Cadc Counseling Services, LLC | Counselor | 315 W. Court St., Kankakee, IL 60901 | 2019-08-08 |
| 1700346327 | Sarah Elizabeth Toma | Speech-Language Pathologist | 200 E Court St #708, Kankakee, IL 60901 | 2019-03-20 |
| 1710473160 | Small Talk Speech Services, LLC | Clinic/Center | 1439 W Vanmeter St, Kankakee, IL 60901 | 2018-07-09 |
| 1124538004 | Amy J Green | Physical Therapist | 350 N. Wall Street, Kankakee, IL 60901 | 2017-10-05 |
| 1013457514 | Elizabeth Ann Smith | Registered Nurse | 292 Charlton Lane, Kankakee, IL 60901 | 2017-03-02 |
| 1861931461 | Stacey E. Brown | Nurse Practitioner | 207 N. Schuyler Ave., Kankakee, IL 60901 | 2017-02-15 |
| 1417352105 | Provider Healthcare Services, Inc | Home Health | 555 South Schuyler, Suite 275, Kankakee, IL 60901 | 2014-10-24 |
| 1265850655 | Ronald George Testa | Dentist | 202 N. Schuyler Ave, Kankakee, IL 60901 | 2014-04-02 |
| 1245587898 | Mary Beth Wertz | Registered Nurse | 100 N Jeffery Street, Kankakee, IL 60901 | 2012-08-13 |
| Find all providers in zip 60901 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992829634 | Tallgrass Cardiology Sc | Internal Medicine | 500 N Wall St Ste 100, Kankakee, IL 60901-2942 | 2007-03-19 |
| 1295964872 | Amit Zachariah | Internal Medicine | 500 N Wall St, Kankakee, IL 60901-2942 | 2009-07-05 |
| 1316111693 | Alaa E Abdel-meguid, M.d., S.c. | Internal Medicine | 500 N Wall St, Suite 501, Kankakee, IL 60901-2942 | 2008-04-17 |
| 1730282393 | Alaa El Sayed Abdel Meguid | Internal Medicine | 500 N Wall St, Suite 501, Kankakee, IL 60901 | 2006-09-07 |
| 1841252152 | Suresh H. Wadhwani, Md, Sc | Internal Medicine | 455 W Court St, Suite 302, Kankakee, IL 60901-3694 | 2006-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164984514 | Cil Care of Il II, LLC | Internal Medicine | 1900 E Golf Rd Ste 950, Schaumburg, IL 60173-5034 | 2019-04-04 |
| 1467950733 | Coordinated Health of Il, LLC | Internal Medicine | 1900 E Golf Rd Ste 950c, Schaumburg, IL 60173-5834 | 2018-01-31 |
| 1740728039 | Jenna Schrage | Internal Medicine | 317 N 5th St, Springfield, IL 62701-1003 | 2017-02-07 |
| 1417373010 | Hashim Gazi | Internal Medicine | 3331 West Deyoung, Suite 100, Marion, IL 62959 | 2014-03-07 |
| 1992041644 | Daniel Brent Nelson | Internal Medicine | 3810 Farhills Dr, Champaign, IL 61822-9321 | 2012-12-28 |
| 1801184767 | Surya Teja Chaturvedula | Internal Medicine | 5409 N Knoxville Ave Ste 207, Peoria, IL 61614-5069 | 2011-07-13 |
| 1841583952 | C Dean Katsamakis Do Facc Sc | Internal Medicine | 240 Waukegan Rd, Glenview, IL 60025-5159 | 2011-05-23 |
| 1154550119 | Elliott M Groves | Internal Medicine | 840 S Wood St Ste Smc715, Chicago, IL 60612-4325 | 2009-07-10 |
| 1841484813 | Elsayed Mohamed | Internal Medicine | 804 E Woodfield Rd Ste 300, Schaumburg, IL 60173-4776 | 2007-08-31 |
| 1952513335 | Muhammad Sikander Akbar | Internal Medicine | 6300 N Lincoln Ave, Chicago, IL 60659-1204 | 2007-05-05 |
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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.