MR. EDWARD GRONKO (NPI# 1760720734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760720734 |
| Entity Type | Individual |
| Full Name | MR. EDWARD GRONKO |
| Credential | PA-C |
| Practice Address |
4711 Golf Rd Suite 1050 Skokie IL 60076-1224 |
| Practice Telephone | 2242517246 |
| Practice Fax Number | 2245347431 |
| Mailing Telephone | 6302022087 |
| Mailing Fax Number | 2245347431 |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2016-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085004354 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4711 GOLF RD SUITE 1050 |
| City | SKOKIE |
| State | IL |
| Zip Code | 60076-1224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497752893 | Alice Chen | Legal Medicine | 4711 Golf Rd, Suite 808, Skokie, IL 60076-1224 | 2005-06-30 |
| 1811418015 | Pr Orthotics & Ot LLC | Durable Medical Equipment & Medical Supplies | 4711 Golf Rd, Skokie, IL 60076-1224 | 2017-06-28 |
| 1528507548 | Elizabeth Hultman | Nurse Practitioner | 4711 Golf Rd, Skokie, IL 60076-1224 | 2017-02-23 |
| 1609314616 | Mary Lally | Behavioral Analyst | 4711 Golf Rd, Suite 100, Skokie, IL 60076-1224 | 2017-02-09 |
| 1821536822 | Steinberg Behavior Solutions | Community/Behavioral Health | 4711 Golf Rd, Suite 100, Skokie, IL 60076-1224 | 2017-02-09 |
| 1205372067 | Olasunkanmi Ogedegbe | Nurse Practitioner | 4711 Golf Rd, Suite 1250, Skokie, IL 60076-1224 | 2017-01-17 |
| 1952858409 | Marissa Bennett | Behavioral Analyst | 4711 Golf Rd, 100, Skokie, IL 60076-1224 | 2016-09-01 |
| 1326495243 | Michelle Fisher | Social Worker | 4711 Golf Rd, Suite 400, Skokie, IL 60076-1224 | 2016-05-20 |
| 1336503119 | Rebecca Arends | Counselor | 4711 Golf Rd, Suite 1200, Skokie, IL 60076-1224 | 2016-04-07 |
| 1992169015 | Jarret Helstern | Nurse Practitioner | 4711 Golf Rd, Suite 1200, Skokie, IL 60076-1224 | 2016-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902456999 | Gateway Foundation, Inc | Clinic/Center | 4028 W. Dempster, Ste 100, Skokie, IL 60076 | 2019-09-12 |
| 1336798255 | Renee Rosenberg | Speech-Language Pathologist | C/o East Prairie School, 7616 N. East Prairie Road, Skoke, IL 60076 | 2019-09-04 |
| 1710531223 | Dw Care Solutions | Hospice Care, Community Based | 4556 Oakton St, Suite 205, Skokie, IL 60076 | 2019-08-01 |
| 1689228157 | Elaine Ng | Pharmacist | 9650 Gross Point Rd Suite 4900, Skokie, IL 60076 | 2019-08-01 |
| 1881169381 | Kathleen Pyles | Registered Nurse | 9650 Gross Point Rd # 4900, Skokie, IL 60076 | 2018-10-10 |
| 1174013452 | Vitae Health of Illinois LLC | Social Worker | 3450 Oakton St, Skokie, IL 60076 | 2018-05-13 |
| 1396253530 | Jodi Novick Okner | Social Worker | 9134 Kilbourn Avenue, Skokie, IL 60076 | 2018-01-22 |
| 1700335924 | Olumide Adeyemo | Nurse Practitioner | 4711 Golf Rd Suite 1250, Skokie, IL 60076 | 2016-09-28 |
| 1255705315 | Malka Rokach | Pharmacist | 3358 W Touhy, Skokie, IL 60076 | 2015-11-30 |
| 1578932620 | Katrina Margaret Keithley | Physician Assistant | 9669 Kenton Ave Ste 203, Skokie, IL 60076 | 2015-09-18 |
| Find all providers in zip 60076 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649882192 | Anna Marie Phillips | Physician Assistant | 5337 Main St, Skokie, IL 60077-2029 | 2020-08-17 |
| 1629695333 | Alli Joy Chemmachel | Physician Assistant | 4925 Dobson St, Skokie, IL 60077-2820 | 2020-06-29 |
| 1578932620 | Katrina Margaret Keithley | Physician Assistant | 9669 Kenton Ave Ste 203, Skokie, IL 60076 | 2015-09-18 |
| 1720109424 | Ian V Mackey | Physician Assistant | 9669 Kenton Ave Ste 209, Skokie, IL 60076-1226 | 2007-04-02 |
| 1750369914 | Thomas S Hans Jr. | Physician Assistant | 9650 Gross Point Rd Ste 2900, Skokie, IL 60076-5006 | 2006-01-06 |
| 1770112302 | Danielle Gomez | Physician Assistant | 9650 Gross Point Rd Ste 2900, Skokie, IL 60076-5006 | 2020-04-06 |
| 1710510391 | Michaela Rose Mackey | Physician Assistant | 9977 Woods Dr Ste 100, Skokie, IL 60077-1057 | 2020-02-21 |
| 1114557717 | Kevin J Lapp | Physician Assistant | 9650 Gross Point Rd, Skokie, IL 60076-5080 | 2020-01-22 |
| 1346888989 | Annie Zupan | Physician Assistant | 9977 Woods Dr, Skokie, IL 60077-1057 | 2019-12-13 |
| 1568003655 | Lauren Ashley Zaucha | Physician Assistant | 9650 Gross Point Rd., Skokie, IL 60076 | 2019-10-01 |
| Find all providers in SKOKIE | ||||
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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.