DR. GERARDO PEREZ- ESPINDOLA (NPI# 1568456374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568456374 |
Entity Type | Individual |
Full Name | DR. GERARDO PEREZ- ESPINDOLA |
Other Name | GERARDO PEREZ ESPINDOLA |
Credential | DPM |
Practice Address |
135 N Greenleaf St Ste 210 Gurnee IL 60031-3371 |
Mailing Address |
135 N Greenleaf St Ste 210 Gurnee IL 60031-3371 |
Practice Telephone | 2628860000 |
Practice Fax Number | 8475747477 |
Mailing Telephone | 4147194799 |
Mailing Fax Number | 8475747477 |
Enumeration Date | 2005-09-07 |
Last Update Date | 2017-10-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
016-005265 | IL | Podiatric Medicine & Surgery Service Providers |
N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
911-025 | WI | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 016-005265 | 05 | |
IL | DEA | BP8685034 | 01 |
IL | MEDICARE PTAN | IL4062 | 01 |
WI | MEDICARE PTAN | WI1874 | 01 |
WI | 43241500 | 05 | |
WI | 1568456374 | 05 | |
WI | MEDICARE GROUP NPI | 1932454279 | 01 |
WI | DEA# | FP2260204 | 01 |
IL | DEA# | BP8685034 | 01 |
Street Address |
135 N GREENLEAF ST STE 210 |
City | GURNEE |
State | IL |
Zip Code | 60031-3371 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699250258 | Ashley Cho | Nurse Practitioner | 135 N Greenleaf St, Gurnee, IL 60031-3393 | 2018-09-30 |
1902254170 | Roberta Moors | Social Worker | 135 N Greenleaf St, Suite 228, Gurnee, IL 60031-3393 | 2016-05-28 |
1932577376 | Melissa S Kostial-janos P.C. | Clinic/Center | 135 N Greenleaf St, Ste 228, Gurnee, IL 60031-3393 | 2015-09-02 |
1578705356 | Denise R. Eaves | Social Worker | 135 N Greenleaf St, 200, Gurnee, IL 60031-3393 | 2009-03-25 |
1447496153 | Partners In Counseling of Lake County Ltd | Social Worker | 135 N Greenleaf St, #204, Gurnee, IL 60031-3393 | 2008-12-30 |
1558515726 | John C Anderson | Dentist | 135 N Greenleaf St, Suite 202, Gurnee, IL 60031-3393 | 2008-11-13 |
1811164783 | Melissa Susan Kostial-janos | Counselor | 135 N Greenleaf St, Ste 228, Gurnee, IL 60031-3393 | 2008-05-10 |
1457544819 | Daun Denise Blain | Counselor | 135 N Greenleaf St, 228, Gurnee, IL 60031-3393 | 2007-08-20 |
1851414916 | Torre K Swanson | Counselor | 135 N Greenleaf St, Suite 230, Gurnee, IL 60031-3393 | 2007-04-06 |
1669592267 | Holly Marie Sheahan | Social Worker | 135 N Greenleaf St, Suite 230, Gurnee, IL 60031-3393 | 2007-03-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881174720 | Rockelle Waggoner | Behavioral Analyst | 489 Tanglewood Dr, Gurnee, IL 60031 | 2018-08-20 |
1316434376 | Lake County Internal Medicine Assoc LLC | Non-Pharmacy Dispensing Site | 15 Tower Ct., Ste 190, Gurnee, IL 60031 | 2018-04-16 |
1588163364 | Advanced Endodontics, PC | Dentist | 103 S. Greenleaf Street, Suite K, Gurnee, IL 60031 | 2018-02-07 |
1578081550 | Northshore Medical Consultants, Ltd | Family Medicine | 1425 Hunt Club Rd. #302, Gurnee, IL 60031 | 2017-08-30 |
1336678739 | Sarah Beth Fugelseth | Nurse Practitioner | 1445 N Hunt Club Rd Ste 304, Gurnee, IL 60031 | 2017-06-08 |
1174079867 | Lifecarepros, LLC | In Home Supportive Care | 223 North Route 21, Gurnee, IL 60031 | 2016-09-01 |
1740733195 | Ryan Lee Winslow | Chiropractor | 6021 Washington St, Unit B, Gurnee, IL 60031 | 2016-08-02 |
1891129599 | Smart Scan Mri, LLC | Clinic/Center | 350 S. Greenleaf, Suite 401, Gurnee, IL 60031 | 2013-08-29 |
1568720076 | Yudelca Romano | Genetic Counselor, MS | 1125 Tri State Parkway, Gurnee, IL 60031 | 2012-05-03 |
1558637348 | Laura E Novak | Social Worker | 4212 Old Grand Avenue, Gurnne, IL 60031 | 2012-03-27 |
Find all providers in zip 60031 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194989731 | Foot Mechanics of Lake County, P.C. | Podiatrist | 4129 Old Grand Ave, Gurnee, IL 60031-2733 | 2008-07-14 |
1427040542 | Timothy J Casey | Podiatrist | 1790 Nations Dr Ste 106, Gurnee, IL 60031-9175 | 2005-08-16 |
1093237596 | Joshua Nathan Riegelhaupt | Podiatrist | 103 S Greenleaf St, Ste B, Gurnee, IL 60031-3380 | 2017-07-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154930485 | Mid America Foot & Ankle Specialist Illinois LLC | Podiatrist | 2003 Montgomery Rd Ste 108109, Aurora, IL 60504-9078 | 2020-07-22 |
1265040026 | Northern Illinois Foot & Ankle Specialists, Ltd | Podiatrist | 4121 Fairview Ave Ste 102, Downers Grove, IL 60515-2266 | 2020-07-17 |
1316563612 | Jacob Tilsley | Podiatrist | 610 S Maple Ave Ste 2250, Oak Park, IL 60304-1093 | 2020-06-22 |
1033738547 | C James Anderson Dpm LLC | Podiatrist | 1000 Eleven S Ste 3a, Columbia, IL 62236-1077 | 2020-04-14 |
1386263895 | C James Anderson Dpm LLC | Podiatrist | 717 Insight Ave Ste 100, O Fallon, IL 62269-2193 | 2020-04-14 |
1821631367 | Dr Christine Heck PC | Podiatrist | 111 N Wabash Ave Ste 1914, Chicago, IL 60602-2968 | 2019-10-28 |
1013562578 | Bishoy Atef Botros | Podiatrist | 820 S Damen Ave Fl 7, Chicago, IL 60612-3728 | 2019-08-01 |
1538623947 | Steven B Overpeck Dpm PC | Podiatrist | 25520 S Pheasant Ln Unit K, Channahon, IL 60410-8808 | 2019-01-30 |
1366916355 | Center for Foot and Ankle Surgery Ltd | Podiatrist | 654 W Veterans Pkwy Ste D, Yorkville, IL 60560-2510 | 2019-01-14 |
1497224950 | Northern Illinois Foot & Ankle Specialists, Ltd | Podiatrist | 1288 S Us Highway 12, Fox Lake, IL 60020-1950 | 2018-11-14 |
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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.