KEVIN PATRICK GILLESPIE (NPI# 1396053625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396053625 |
| Entity Type | Individual |
| Full Name | KEVIN PATRICK GILLESPIE |
| Credential | CRNA |
| Practice Address |
2800 W 95th St Evergreen Park IL 60805-2701 |
| Mailing Address |
Po Box 631 Lake Forest IL 60045-0631 |
| Practice Telephone | 7084226200 |
| Practice Fax Number | 7084998510 |
| Mailing Telephone | 8476152200 |
| Mailing Fax Number | 8476152858 |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2010-09-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 041329798 | IL | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 209008279 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295131431 | Kevin Gillespie | Counselor | 7031 Country Club Ter, New Market, MD 21774-6713 | 2014-11-17 |
| 1831139559 | Kevin Gillespie | Emergency Medicine | 65 James St, Edison, NJ 08820-3947 | 2006-06-08 |
| 1659324929 | Kevin Roger Gillespie | Dentist | 1811 Army Blvd, Jbsa Ft Sam Houston, TX 78234-2686 | 2006-05-18 |
| 1467416453 | Kevin R Gillespie | Radiology | 7601 Pioneers Blvd, Lincoln, NE 68506-4675 | 2006-04-14 |
| Street Address |
2800 W 95TH ST |
| City | EVERGREEN PARK |
| State | IL |
| Zip Code | 60805-2701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598768780 | Little Company of Mary Hospital Inc | General Acute Care Hospital | 2800 W 95th St, Evergreen Park, IL 60805-2746 | 2005-05-23 |
| 1831798388 | Jerenda Bond | Physical Therapist | 2800 W 95th St, Evergreen Park, IL 60805-2701 | 2020-10-25 |
| 1073111928 | Joanne Zitter | Occupational Therapist | 2800 W 95th St, Evergreen Park, IL 60805-2701 | 2020-10-13 |
| 1508464876 | Laura Stecich | Physical Therapist | 2800 W 95th St, Evergreen Park, IL 60805-2701 | 2020-10-09 |
| 1831797109 | Donnika Lynn Jones-hamlin | Physical Therapist | 2800 W 95th St, Evergreen Park, IL 60805-2701 | 2020-10-09 |
| 1831796135 | Carla Graciela Joiner | Physical Therapist | 2800 W 95th St, Evergreen Park, IL 60805-2701 | 2020-10-08 |
| 1104433390 | Stephanie Ann Cunnane | Speech-Language Pathologist | 2800 W 95th St, Evergreen Park, IL 60805-2701 | 2020-09-30 |
| 1598372260 | Judy A Sonichsen | Physical Therapist | 2800 W 95th St, Evergreen Park, IL 60805-2701 | 2020-09-28 |
| 1679180152 | Charmaine Boncalon Espiritu | Physical Therapist | 2800 W 95th St, Evergreen Park, IL 60805-2701 | 2020-09-28 |
| 1033738034 | Merrill Barnes | Pathology | 2800 W 95th St, Evergreen Park, IL 60805 | 2020-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254603 | Cynthia Nicole Bucio | Pharmacist | 9400 S. Western, Evergreen Park, N/A 60805 | 2020-10-27 |
| 1124530456 | Foundations Counseling, LLC | Social Worker | 9730 S Western Ave Ste 215, Evergreen Park, IL 60805 | 2017-10-26 |
| 1184147886 | Luke Blaeser | Specialist/Technologist | 2856 W. 97th Pl., Evergreen Park, IL 60805 | 2017-07-25 |
| 1396193322 | Daniel Joseph Bierbaum Howard | Emergency Medicine | 2800 95th St, Emergency Department, Evergreen Park, IL 60805 | 2016-05-31 |
| 1588037873 | Lcr Primary Care LLC | Exclusive Provider Organization | 9237 S.pulaski, Ste. 2s, Evergreen Park, IL 60805 | 2015-11-09 |
| 1447639091 | Nancy Sanchez | Social Worker | 9832 S Utica Ave, Evergreen Park, IL 60805 | 2015-05-28 |
| 1629334743 | Harshad M. Mehta Md Sc | Psychiatry & Neurology | 2850 W. 95th Street, Suite 206, Evergreen Park, IL 60805 | 2012-04-03 |
| 1235407305 | Victoria T Adesina | Pharmacist | 8700 South Kedzie Ave, Evergreen Park, IL 60805 | 2011-12-05 |
| 1891072922 | Zahia-lena Refat Hussien | Pharmacist | 8700 S. Kedzie Ave, Evergreen Park, IL 60805 | 2011-11-03 |
| 1891079091 | Denise Adams | Occupational Therapy Assistant | 9217 S. Kedzie, Evergreen Park, IL 60805 | 2011-10-06 |
| Find all providers in zip 60805 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073557369 | Daniel K. Heenan | Nurse Anesthetist, Certified Registered | 2800 W 95th Street, Evergreen Park, IL 60805-2746 | 2006-06-16 |
| 1790915890 | Vincent E Adduci | Nurse Anesthetist, Certified Registered | 2800 W 95th St, Evergreen Park, IL 60805-2701 | 2009-07-23 |
| 1497860514 | Troy A. Villafuerte | Nurse Anesthetist, Certified Registered | 2800 W 95th St, Evergreen Park, IL 60805-2701 | 2006-08-20 |
| 1467567560 | Monica D. Thomas | Nurse Anesthetist, Certified Registered | 2800 W 95th Street, Evergreen Park, IL 60805-2746 | 2006-08-20 |
| 1740395656 | Carrie A. Shurhay | Nurse Anesthetist, Certified Registered | 2800 W 95th St, Evergreen Park, IL 60805-2701 | 2006-08-20 |
| 1295762045 | Gwendolyn A. Janecek | Nurse Anesthetist, Certified Registered | 2800 W 95th St, Evergreen Park, IL 60805-2746 | 2006-06-27 |
| 1912943705 | Dena Vincent | Nurse Anesthetist, Certified Registered | 2800 W 95th St, Evergreen Park, IL 60805-2746 | 2006-06-21 |
| 1013959352 | Karyn L. Benak | Nurse Anesthetist, Certified Registered | 2800 W 95th St, Evergreen Park, IL 60805-2746 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639797525 | Crna Stat Inc | Nurse Anesthetist, Certified Registered | 4534 S Lake Park Ave, Chicago, IL 60653-4510 | 2020-07-08 |
| 1285258855 | Doug Brickey | Nurse Anesthetist, Certified Registered | 913 N Main St Apt 502, Rockford, IL 61103-7058 | 2020-05-30 |
| 1508480153 | Scott Allsup | Nurse Anesthetist, Certified Registered | 1337 W Early Ave Apt 1, Chicago, IL 60660-5465 | 2020-05-29 |
| 1265051817 | Apollo Anesthesia and Pain Management, Pllc | Nurse Anesthetist, Certified Registered | 520 Valley View Dr Ste 300, Moline, IL 61265-6152 | 2020-04-14 |
| 1194352286 | Decelle Jewel Manuel Enriquez | Nurse Anesthetist, Certified Registered | 251 E Huron St Ste F5-704, Chicago, IL 60611-2908 | 2020-03-26 |
| 1538795398 | Marcin Cebula | Nurse Anesthetist, Certified Registered | 7519 Long Ave, Burbank, IL 60459-1362 | 2020-03-12 |
| 1376105684 | Tel Anesthesia, Ltd | Nurse Anesthetist, Certified Registered | 7 Flint Ct, Bloomington, IL 61705-8830 | 2019-07-08 |
| 1013474071 | Vitalz Anesthesia Unlimited LLC | Nurse Anesthetist, Certified Registered | 6708 N Knoxville Ave Ste 1, Peoria, IL 61614-2863 | 2019-02-26 |
| 1689130247 | Sheri Rylko | Nurse Anesthetist, Certified Registered | 1653 W. Congress Pkwy. Jelke 7, Chicago, IL 60612 | 2019-02-19 |
| 1760968101 | Daniel Bermea | Nurse Anesthetist, Certified Registered | 6811 Brementowne Dr, Tinley Park, IL 60477-1605 | 2018-07-18 |
| Find all providers with the same taxonomy | ||||
| City | EVERGREEN PARK |
| Zip Code | 60805 |
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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.