DR. GERALD JAMES GAMALSKI (NPI# 1679617716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679617716 |
| Entity Type | Individual |
| Full Name | DR. GERALD JAMES GAMALSKI |
| Credential | MD |
| Practice Address |
731 S Illinois Route 21 Suite 130 Gurnee IL 60031-3813 |
| Practice Telephone | 8475663337 |
| Practice Fax Number | 8478163166 |
| Mailing Telephone | 8475663337 |
| Mailing Fax Number | 8478163166 |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2008-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 036117567 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE | 916950 | 01 |
| IL | BLUE CROSS BLUE SHIELD IL | 04930281 | 01 |
| IL | 036117567 | 05 |
| Street Address |
731 S ILLINOIS ROUTE 21 SUITE 130 |
| City | GURNEE |
| State | IL |
| Zip Code | 60031-3813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912911991 | Pamela Fennewald | Internal Medicine | 731 S Illinois Route 21, Suite 130, Gurnee, IL 60031-3813 | 2006-07-28 |
| 1942489075 | Deerpath Physicians Group Ltd | Internal Medicine | 731 S Illinois Route 21, Suite 130, Gurnee, IL 60031-3813 | 2007-10-25 |
| 1508088485 | Shiney J. Varghese | Nurse Practitioner | 731 S Illinois Route 21, Gurnee, IL 60031-3813 | 2007-05-02 |
| 1588777122 | Chae Han - Chang | Internal Medicine | 731 S Illinois Route 21, Suite 130, Gurnee, IL 60031-3813 | 2006-08-17 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1881169761 | Janet Corazon Colina Lim | Internal Medicine | 572 Prescott Ln, Gurnee, IL 60031-5313 | 2018-10-08 |
| 1669833539 | John Stelios Leventis | Internal Medicine | 35 Tower Ct Ste I, Gurnee, IL 60031-5712 | 2016-03-18 |
| 1750568960 | Mohammad Waseem Kagzi Md Ltd | Internal Medicine | 731 S Il Rte 21, 120, Gurnee, IL 60031-5258 | 2008-01-30 |
| 1306042999 | Shilpa Anshul Bamrolia | Internal Medicine | 45 Tower Ct Ste C, Gurnee, IL 60031-3376 | 2007-06-21 |
| 1386850378 | Xavier W. Parreno, M.d., S.c. | Internal Medicine | 135 Greenleaf St, Suite 100, Gurnee, IL 60031-3334 | 2007-05-15 |
| 1497870315 | Guadalupe S Sitjar | Internal Medicine | 135 North Greenleaf, Suite #224, Gurnee, IL 60031-3371 | 2007-03-20 |
| 1447305644 | Shari L. Bornstein Md | Internal Medicine | 501 N. Riverside Dr, #106, Gurnee, IL 60031-2701 | 2007-01-25 |
| 1114094646 | Claudia Tiwet | Internal Medicine | 731 S Il Route 21 Ste 130, Gurnee, IL 60031 | 2006-11-29 |
| 1477566701 | Zita B Yorro | Internal Medicine | 222 South Greenleaf St, Suite 110, Gurnee, IL 60031 | 2006-08-15 |
| 1245240936 | Pramila Kasturi | Internal Medicine | 15 Tower Ct Ste 240, Gurnee, IL 60031-3336 | 2006-08-08 |
| Find all providers in GURNEE | ||||
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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.