DR. GINA NICOLE GUGLIELMI (NPI# 1285164699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285164699 |
| Entity Type | Individual |
| Full Name | DR. GINA NICOLE GUGLIELMI |
| Credential | DO |
| Practice Address |
1304 Franklin Ave Normal IL 61761-3558 |
| Mailing Address |
3017 Rudder Ln Apt 110 Bloomington IL 61704-8673 |
| Practice Telephone | 3094541400 |
| Mailing Telephone | 6309454622 |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2017-06-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 125.071056 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1304 FRANKLIN AVE |
| City | NORMAL |
| State | IL |
| Zip Code | 61761-3558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962489815 | Advocate Health and Hospitals Corporation | Pharmacy | 1304 Franklin Ave, Normal, IL 61761-3558 | 2005-12-30 |
| 1588292239 | Christa Jaglinski | Family Medicine | 1304 Franklin Ave, Normal, IL 61761-3558 | 2020-03-30 |
| 1659910438 | Adam Joseph Mckillip | Physician Assistant | 1304 Franklin Ave, Normal, IL 61761-3558 | 2019-12-27 |
| 1285196220 | Ondrea K Timmermann | Student in an Organized Health Care Education/Training Program | 1304 Franklin Ave, Normal, IL 61761-3558 | 2019-04-01 |
| 1700348752 | Brian Man Chan | Family Medicine | 1304 Franklin Ave, Normal, IL 61761-3558 | 2019-04-01 |
| 1801358627 | Nicholas Gurganious | Physician Assistant | 1304 Franklin Ave, Normal, IL 61761-3558 | 2019-04-01 |
| 1841752854 | Uyen Thanh Pham Le | Student in an Organized Health Care Education/Training Program | 1304 Franklin Ave, Normal, IL 61761-3558 | 2019-04-01 |
| 1477013613 | Ahmad Emara | Student in an Organized Health Care Education/Training Program | 1304 Franklin Ave, Normal, IL 61761-3558 | 2019-03-22 |
| 1477017275 | Jae Rock Shim | Registered Nurse | 1304 Franklin Ave, Normal, IL 61761-3558 | 2019-01-25 |
| 1477048932 | Brittany R. Bolt | Psychiatry & Neurology | 1304 Franklin Ave, Normal, IL 61761-3558 | 2018-06-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681796 | Brittany Nicole Mekley | Nurse Practitioner | 201 N. University, Normal, IL 61761 | 2020-08-28 |
| 1679108971 | Krystal Halliday | Occupational Therapist | 1815 N Towanda Barnes Rd, Normal, IL 61761 | 2020-03-06 |
| 1265915474 | Laine E Burek | Nurse Practitioner | 1765 Bradford Ln., Normal, IL 61761 | 2018-09-13 |
| 1801389986 | Ashley Michelle James | Specialist/Technologist | 347 S. University St, Normal, IL 61761 | 2018-06-12 |
| 1447750708 | Shelley R. Ruch | Specialist/Technologist, Other | 1604 Visa Drive, Ste 1, Normal, IL 61761 | 2018-02-13 |
| 1497275069 | Mclean County Nursing Home | Non-emergency Medical Transport (VAN) | 901 N. Main St, Normal, IL 61761 | 2017-06-23 |
| 1235673666 | Megan Threm | Registered Nurse | 900 Franklin Ave Community Health Care Clinic, Normal, IL 61761 | 2016-12-04 |
| 1437513553 | Tiesha Smith | Specialist | 1800 Rockingham Dr, Apt 1d, Normal, IL 61761 | 2016-04-06 |
| 1285031658 | New Day Recovery | Community/Behavioral Health | 402 Summit, Normal, IL 61761 | 2014-12-01 |
| 1174927701 | Alyssa Marie Bruck | Occupational Therapist | 700 N Walnut St, Normal, IL 61761 | 2014-10-10 |
| Find all providers in zip 61761 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689168593 | Megan Mariah Finneran | Neurological Surgery | 1304 Franklin Ave, Normal, IL 61761-3558 | 2018-06-15 |
| 1184117038 | Paul Jene Gustin | Neurological Surgery | 1300 Franklin Ave, Normal, IL 61761-3592 | 2018-06-14 |
| 1932559119 | Ryan Michael Johnson | Neurological Surgery | 1300 Franklin Ave Ste 110, Normal, IL 61761-3799 | 2016-06-17 |
| 1770931297 | Torin Walter Karsonovich | Neurological Surgery | 1304 Franklin Ave, Normal, IL 61761-3558 | 2016-05-25 |
| 1720460025 | Matthew James Putty | Neurological Surgery | 1300 Franklin Ave, Suite 110, Normal, IL 61761-3592 | 2015-06-23 |
| 1508247370 | Michael Young | Neurological Surgery | 1300 Franklin Ave, Suite 110, Normal, IL 61761-3592 | 2015-06-17 |
| 1639585920 | John Christopher Hawkins II | Neurological Surgery | 1300 Franklin Ave, Suite 110, Normal, IL 61761-3592 | 2014-07-07 |
| 1861807174 | Evan Krueger | Neurological Surgery | 1300 Franklin Ave, Suite 110, Normal, IL 61761-3592 | 2014-06-25 |
| 1326486283 | Derek Gene Kroll | Neurological Surgery | 1304 Franklin Ave, Normal, IL 61761-3558 | 2013-06-12 |
| 1740523869 | Joshua Sterling Bentley | Neurological Surgery | 1304 Franklin Ave, Normal, IL 61761-3558 | 2013-03-27 |
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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.