GORDON MESA


Address: 3134 N Clark St, Chicago, IL 60657-4414
Phone: 7737661949

GORDON MESA (NPI# 1740653559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740653559
Entity Type Individual
Full Name GORDON MESA
Credential DNP, FNP-BC
Practice Address 3134 N Clark St
Chicago
IL 60657-4414
Practice Telephone 7737661949
Mailing Telephone 7737661949
Mailing Fax Number 7737664908
Enumeration Date 2015-11-03
Last Update Date 2020-09-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
277000201 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3134 N CLARK ST
City CHICAGO
State IL
Zip Code 60657-4414

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104147628 Steven L Driver Internal Medicine 3134 N Clark St, Chicago, IL 60657-4414 2010-06-18
1821522376 Troy Joseph Mensen Family Medicine 3134 N Clark St, Chicago, IL 60657-4414 2017-04-11
1396127890 Polina Kuprien Internal Medicine 3134 N Clark St, Chicago, IL 60657-4414 2015-06-22
1881083327 Catherine Jean Phillips Nurse Practitioner 3134 N Clark St, Chicago, IL 60657-4414 2015-01-22
1518304054 Mark K. Kosinski Internal Medicine 3134 N Clark St, Chicago, IL 60657-4414 2013-05-23
1760742118 Jenny Katherine Ukena Internal Medicine 3134 N Clark St, Chicago, IL 60657 2012-05-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992303887 Simone Paes Behavior Technician 3141 N Sheffield Ave, Chicago, IL 60657 2020-10-13
1821613175 Samridhi Khatri Internal Medicine 836 W. Wellington Ave, Advocate Illinois Masonic Medica, Suite 1312, Chigaco, IL 60657 2020-06-12
1467074617 Dewolfe Aesthetic Services Sc Surgery 3357 N. Southport Aveune, Chicago, IL 60657 2020-05-11
1790304657 Mehr Amer Mjeed Student in an Organized Health Care Education/Training Program Advocate Internal Medicine Clinic, Advocate Illinois Ma, 836 West Wellington Avenue, Chicago, IL 60657 2020-04-10
1457997561 Jasleen Mohini Singh Physician Assistant 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 2019-11-24
1306493408 Art of Sight Eyecare, LLC Optometrist 2915 N. Broadway, Chicago, IL 60657 2019-08-22
1992359277 Joseph Michael Rochford IIi Counselor 1358 W Belmont Ave, Unit # 202, Chicago, IL 60657 2019-07-25
1487116240 Conrad Petersen Dermatology Sc Dermatology 2845 N Sheridan, Chicago, IL 60657 2019-04-02
1003388810 Evolve Wellness S.c. Counselor 2845 North Sheridan Road, Suite 708, Chicago, IL 60657 2018-12-19
1639657414 Advocate North Side Health Network Psychiatric Unit 836 W Wellington Ave., Chicago, IL 60657 2018-08-02
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932700911 Laura Ivette Portillo Nurse Practitioner 2727 N Marmora Ave, Chicago, IL 60639-1219 2020-11-05
1265033385 Carolle M Derradji Nurse Practitioner 3256 W Potomac Ave, Chicago, IL 60651-2411 2020-11-04
1104427293 Katie Michelle O'halloran Nurse Practitioner 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 2020-11-04
1578163515 Deanna Bassette Nurse Practitioner 243 E 31st St Apt 401, Chicago, IL 60616-5212 2020-10-29
1891395745 Vrunda Shah Patel Nurse Practitioner 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 2020-10-29
1881291706 Rita Elue Nurse Practitioner 6241 N Winthrop Ave Apt 307, Chicago, IL 60660-2071 2020-10-04
1558976514 Janice Nicole Kinney Nurse Practitioner 10127 S Harding Ave, Chicago, IL 60655-3748 2020-09-15
1881209278 Monique Graves Nurse Practitioner 4912 W Adams St Apt 2, Chicago, IL 60644-4445 2020-09-11
1194339721 Maureen Iyesogie Diji Nurse Practitioner 4658 S Ellis Ave, Chicago, IL 60653-3625 2020-09-01
1669085395 Emily Calderon Nurse Practitioner 5556 N Sheridan Rd Apt 506, Chicago, IL 60640-1677 2020-08-24
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Competitor

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City CHICAGO
Zip Code 60657

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Dataset Information

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.

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