GERALD J MINGOLELLI (NPI# 1508863531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508863531 |
| Entity Type | Individual |
| Full Name | GERALD J MINGOLELLI |
| Credential | MD |
| Practice Address |
17850 Kedzie Ave 3200 Hazel Crest IL 60429-2058 |
| Mailing Address |
Po Box 967 Tinley Park IL 60477-0967 |
| Practice Telephone | 7087988112 |
| Practice Fax Number | 7087989016 |
| Mailing Telephone | 7085326029 |
| Mailing Fax Number | 7085326095 |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2013-01-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
036085438 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036085438 | 05 |
| Street Address |
17850 KEDZIE AVE 3200 |
| City | HAZEL CREST |
| State | IL |
| Zip Code | 60429-2058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912903691 | Robert Heidenry | Ophthalmology | 17850 Kedzie Ave, Suite 3500, Hazel Crest, IL 60429-2058 | 2005-06-27 |
| 1528517059 | Lynn Roxas Kelly | Nurse Practitioner | 17850 Kedzie Ave, Hazel Crest, IL 60429-2058 | 2016-09-26 |
| 1356744452 | Kristi Hughes | Nurse Practitioner | 17850 Kedzie Ave, Hazel Crest, IL 60429-2058 | 2014-10-02 |
| 1861810574 | Cindy M Spicka | Registered Nurse | 17850 Kedzie Ave, Suite #3250, Hazel Crest, IL 60429-2058 | 2014-03-31 |
| 1497004139 | Medplus Medical Center Sc | Family Medicine | 17850 Kedzie Ave, Suite 2200, Hazel Crest, IL 60429-2058 | 2012-09-07 |
| 1104054386 | Aunt Martha's Youth Service Center, Inc. | Clinic/Center | 17850 Kedzie Ave, Suite 3200, Hazel Crest, IL 60429-2058 | 2009-06-26 |
| 1255596318 | Subba Rao Md Sc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 17850 Kedzie Ave, Suite 3000, Hazel Crest, IL 60429-2058 | 2008-07-28 |
| 1013177278 | Varsha Bhan Md Sc | Clinic/Center | 17850 Kedzie Ave, Suite 1700, Hazel Crest, IL 60429-2058 | 2008-06-11 |
| 1346434651 | Womens Wellness World Sc | Obstetrics & Gynecology | 17850 Kedzie Ave, #2600, Hazel Crest, IL 60429-2058 | 2007-08-29 |
| 1104948967 | Christopher T. Kardasis M.d., S.c. | Ophthalmology | 17850 Kedzie Ave, Doctors Pavilion Suite 1200, Hazel Crest, IL 60429-2058 | 2007-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659917987 | Nancy Sinwelski | Technician | 17305 Fisk Street, East Hazelcrest, IL 60429 | 2019-11-21 |
| 1144720871 | Plentiful Hair Studio LLC | Specialist | 17504 E Carriageway Dr Ste D, Hazel Crest, IL 60429 | 2018-02-19 |
| 1376052142 | Natalie Allen | Counselor | 3518 Birchwood Dr, Hazel Crest, IL 60429 | 2017-09-25 |
| 1730534009 | Lydena Franklin | Counselor | 1909 Cheker Square, East Hazel Crest, IL 60429 | 2016-04-25 |
| 1710331053 | Lauiren Orta | Counselor | 1901 Cheker Square, E Hazel Crest, IL 60429 | 2016-04-22 |
| 1427423367 | Andrea Leigh Warren | Nurse Practitioner | 17800 S. Kedzie Ave, Hazel Crest, IL 60429 | 2015-12-03 |
| 1770969354 | Karriem's Developmental Services | Day Training, Developmentally Disabled Services | 18513 River Road, Hazel Crest, IL 60429 | 2015-08-05 |
| 1073905170 | James Kamper | Physical Therapy Assistant | 1816 W 170th Street, Hazel Crest, IL 60429 | 2015-02-26 |
| 1194066019 | Marilyn C Scott | Psychologist | 18505 Meadow Ln., Hazel Crest, IL 60429 | 2013-03-04 |
| 1649548405 | Supported Independence | Community/Behavioral Health | 17009 Elm Drive, Hazel Crest, IL 60429 | 2011-12-08 |
| Find all providers in zip 60429 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457652950 | Motilal A Bhatia Md Sc | Internal Medicine | 17850 Kedzie Ave Ste 2100, Hazel Crest, IL 60429-2056 | 2010-11-15 |
| 1285975508 | Pinhas Sharon, Md LLC | Internal Medicine | 3330 W 177th St, Suite 3e, Hazel Crest, IL 60429-2184 | 2013-03-12 |
| 1134211956 | Motilal A. Bhatia | Internal Medicine | 17850 Kedzie Ave, 2100, Hazel Crest, IL 60429-2058 | 2006-09-29 |
| 1770580706 | Randolph Mcconnie | Internal Medicine | 17850 Kedzie Ave, 3200, Hazel Crest, IL 60429-2058 | 2005-07-05 |
| 1306843339 | Ayman Alzubi | Internal Medicine | 17850 Kedzie Ave, 3200, Hazel Crest, IL 60429-2058 | 2005-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013487388 | Endoscopy Center of The North Shore, LLC | Internal Medicine | 1100 Central Ave Ste H, Wilmette, IL 60091-2666 | 2018-11-29 |
| 1104303296 | Amanda Israel | Internal Medicine | 5841 S Maryland Ave # 4076m410, Chicago, IL 60637-1443 | 2018-07-23 |
| 1861999559 | Kiba, Inc. | Internal Medicine | 3845 Mccoy Dr Ste 101, Aurora, IL 60504-4429 | 2018-04-09 |
| 1447765888 | David Henoch Barch | Internal Medicine | 3431 N Leavitt St, Chicago, IL 60618-6013 | 2017-12-07 |
| 1861861403 | Belleville Endoscopy LLC | Internal Medicine | 311 West Lincoln St, Suite 101, Belleville, IL 62220 | 2015-09-24 |
| 1205218658 | Ye Eun Kwak | Internal Medicine | 5841 S Maryland Ave Rm J-517, Chicago, IL 60637 | 2015-06-22 |
| 1699186890 | Laura Hamad | Internal Medicine | 1717 Midwest Club Pkwy, Oak Brook, IL 60523-2586 | 2014-05-11 |
| 1154749042 | Joshua Michael Steinberg | Internal Medicine | 5841 S Maryland Ave # 4076, Chicago, IL 60637-1443 | 2014-03-28 |
| 1841533254 | Danish Shahab | Internal Medicine | 133 E Brush Hill Rd Ste 100&400, Elmhurst, IL 60126-5659 | 2013-04-03 |
| 1447599311 | Seymour Marshall Sabesin | Internal Medicine | 630 S Hermitage Ave, Suite 802, Chicago, IL 60612-3874 | 2013-02-12 |
| Find all providers with the same taxonomy | ||||
| City | HAZEL CREST |
| Zip Code | 60429 |
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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.