GREGORY T. PREVATT (NPI# 1528050218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528050218 |
| Entity Type | Individual |
| Full Name | GREGORY T. PREVATT |
| Credential | O,T,S.C. |
| Practice Address |
327 Gundersen Dr Suite A Carol Stream IL 60188-2402 |
| Practice Telephone | 6306659155 |
| Practice Fax Number | 6306655557 |
| Mailing Telephone | 6306659155 |
| Mailing Fax Number | 6306655557 |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
327 GUNDERSEN DR SUITE A |
| City | CAROL STREAM |
| State | IL |
| Zip Code | 60188-2402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215938170 | Wheaton Orthopaedics, Ltd. | Specialist | 327 Gundersen Dr, Ste A, Carol Stream, IL 60188-2402 | 2005-08-02 |
| 1245781558 | Shannon M Krippinger | Physician Assistant | 327 Gundersen Dr, Carol Stream, IL 60188-2402 | 2016-10-21 |
| 1902253867 | Angela Calderone | Physical Therapy Assistant | 327 Gundersen Dr, Suite C, Carol Stream, IL 60188-2402 | 2016-05-20 |
| 1265849988 | Samantha M Pickert | Physical Therapist | 327 Gundersen Dr, Ste C, Carol Stream, IL 60188-2402 | 2014-07-15 |
| 1780949347 | Tyler Yamauchi | Physical Therapist | 327 Gundersen Dr, Suite C, Carol Stream, IL 60188-2402 | 2012-07-10 |
| 1184981417 | Adventist Health Partners, Inc | Family Medicine | 327 Gundersen Dr, Suite C, Carol Stream, IL 60188-2402 | 2012-04-11 |
| 1306132352 | Cindy I Sorlie | Physical Therapist | 327 Gundersen Dr, Suite C, Carol Stream, IL 60188-2402 | 2011-06-28 |
| 1558681486 | Kavita K. Patel | Occupational Therapist | 327 Gundersen Dr, Suite C, Carol Stream, IL 60188-2402 | 2010-06-02 |
| 1356669022 | Andrea Lynn Modica | Registered Nurse | 327 Gundersen Dr, Suite A, Carol Stream, IL 60188-2402 | 2010-05-05 |
| 1558692467 | Anthony R Serpe | Physical Therapist | 327 Gundersen Dr, Suite C, Carol Stream, IL 60188-2402 | 2010-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205496296 | Vita Pharmacy Inc | Pharmacy | 279-281 W Elk Trail Rd, Carol Stream, IL 60188 | 2019-06-20 |
| 1992287346 | Anjana Matiwala | Pharmacist | 1600 Mcconnor Parkway, Schaumburg, IL 60188 | 2018-09-02 |
| 1588145197 | Rita D Patel | Family Medicine | 858 Papoose Ct., Carol Stream, IL 60188 | 2018-08-22 |
| 1881103638 | Lineta Kundrotiene | Pharmacist | 615 Appaloosa Ct, Carol Stream, IL 60188 | 2017-09-25 |
| 1225409345 | Dr David Cavazos Dc LLC | Chiropractor | 66 E North Ave, Carol Stream, IL 60188 | 2015-10-15 |
| 1548657901 | Mark Babinski | Chiropractor | 1189 N Gary Ave, Carol Stream, IL 60188 | 2015-04-22 |
| 1609267095 | Jocelyn Tolentino | Obstetrics & Gynecology | 630 North Ave, Dept of Ob Gyn, Carol Stream, IL 60188 | 2015-02-06 |
| 1265798532 | William Vogds | Chiropractor | 25 W 330 Geneva Rd, Carol Stream, IL 60188 | 2012-04-11 |
| 1740557073 | Mary Jene Howe | Pharmacist | 540 Schmale, Carol Stream, IL 60188 | 2011-12-01 |
| 1992087878 | Patricia J Zurek | Pharmacist | 540 Schmale Rd, Carol Stream, IL 60188 | 2011-09-15 |
| Find all providers in zip 60188 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013468628 | Rachel Pioch | Specialist/Technologist, Other | 1308 Birchbark Trl, Carol Stream, IL 60188-9181 | 2016-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023634045 | Electrolysis By Kelly Inc | Specialist/Technologist, Other | 715 Lake St Ste 300, Oak Park, IL 60301-1412 | 2020-06-25 |
| 1295384337 | Stacey Gail Lucterhand | Specialist/Technologist, Other | 133 Ridge Rd, Highland Park, IL 60035-4338 | 2019-09-11 |
| 1740783117 | Ericka Nicole Curry | Specialist/Technologist, Other | 8635 S 87th Ave, Justice, IL 60458-2005 | 2018-03-13 |
| 1316462807 | Hrisanthi Zhupa | Specialist/Technologist, Other | 7253 W Touhy Ave, Chicago, IL 60631-4326 | 2017-08-07 |
| 1013442045 | Kyle Marcus Thorson | Specialist/Technologist, Other | 267 South Chestnut St, Apt 3, Chebanse, IL 60922 | 2017-04-27 |
| 1255866646 | Matthew Kovarik | Specialist/Technologist, Other | 221 3rd St, Libertyville, IL 60048-2303 | 2017-04-24 |
| 1275068660 | Marissa Nicole Maeder | Specialist/Technologist, Other | 205 S 6th St, Malta, IL 60150-9703 | 2017-04-24 |
| 1629503016 | Amber Beasley | Specialist/Technologist, Other | 2808 Grouse Ct, Rolling Meadows, IL 60008-2601 | 2017-04-24 |
| 1073048468 | Nicole Lynn Fatka | Specialist/Technologist, Other | 318 N Thomas St, Gilman, IL 60938-1352 | 2017-04-24 |
| 1982139374 | Nicholas Escondo | Specialist/Technologist, Other | 1407 Churchill Ln, Grayslake, IL 60030-3754 | 2017-04-24 |
| Find all providers with the same taxonomy | ||||
| City | CAROL STREAM |
| Zip Code | 60188 |
Please comment or provide details below to improve the information on GREGORY T. PREVATT.
| 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.