ELISE MADECK GENTILE


Address: 4440 W 95th St, Suite 2177h, Oak Lawn, IL 60453-2600
Phone: 7086843595

ELISE MADECK GENTILE (NPI# 1760810535) 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) 1760810535
Entity Type Individual
Full Name ELISE MADECK GENTILE
Other Name ELISE MARIE MADECK
Credential MS, APN, CPNP
Practice Address 4440 W 95th St
Suite 2177h
Oak Lawn
IL 60453-2600
Mailing Address 1011 Bernette Ct
Naperville
IL 60540-4837
Practice Telephone 7086843595
Mailing Telephone 8476518055
Enumeration Date 2013-10-14
Last Update Date 2016-04-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
209.009674 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4440 W 95TH ST
SUITE 2177H
City OAK LAWN
State IL
Zip Code 60453-2600

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902805666 Kenneth S. Toth Anesthesiology 4440 W 95th St, Oak Lawn, IL 60453-2600 2005-07-15
1821697392 Marissa Vavra Occupational Therapist 4440 W 95th St, Oak Lawn, IL 60453-2600 2020-10-25
1215535638 Jarrod Siek Georgacakis Nurse Practitioner 4440 W 95th St, Oak Lawn, IL 60453-2600 2020-10-16
1396350708 Crystal Oehmen Radiology 4440 W 95th St, Oak Lawn, IL 60453-2600 2020-09-11
1255943999 Kristen Michele Hill Nurse Practitioner 4440 W 95th St, Oak Lawn, IL 60453-2600 2020-08-22
1033735295 Thomas Panicucci Registered Nurse 4440 W 95th St, Oak Lawn, IL 60453-2600 2020-06-23
1538785407 Amanda Thompson Nurse Practitioner 4440 W 95th St, Oak Lawn, IL 60453-2600 2020-06-17
1508481250 Amy Marie Fader Student in an Organized Health Care Education/Training Program 4440 W 95th St, Oak Lawn, IL 60453-2600 2020-06-09
1528680139 Nader Hamzeh Darwish Student in an Organized Health Care Education/Training Program 4440 W 95th St, Oak Lawn, IL 60453-2600 2020-05-18
1003438920 Anna Manilla Speech-Language Pathologist 4440 W 95th St, Oak Lawn, IL 60453-2600 2020-05-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659995231 Natalia Zero Student in an Organized Health Care Education/Training Program 4440 W 95th St, Rm 131 North, Oak Lawn, IL 60453 2020-05-30
1114554300 Sylvia Maria Chlebek Student in an Organized Health Care Education/Training Program Advocate Christ Medical Center 4440 W. 95th St., Rm 131 North, Oak Lawn, IL 60453 2020-03-26
1972066751 Amanda Mroczek Family Medicine 9555 52nd Avenue, Suite F, Oak Lawn, IL 60453 2019-04-09
1013479955 Leah Rae Prager Physician Assistant 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 2019-04-01
1659833473 Chelsea Sumida Gipson Family Medicine 9555 South 52nd Avenue, Suite F, Oak Lawn, IL 60453 2019-04-01
1518427418 Robert Lindgren Family Medicine 9555 S. 52nd Ave., Suite F, Oak Lawn, IL 60453 2019-03-25
1154886695 Stephanie Anne Comer Social Worker 10102 South Cicero Avenue, Suite C, Oak Lawn, IL 60453 2019-02-08
1700360070 Brian L Lee Counselor 8938 S Ridgeland Avenue Suite 100, Oak Lawn, IL 60453 2018-09-21
1679085245 International Dental of Oak Lawn Clinic/Center 9539 S Cicero Ave, Oak Lawn, IL 60453 2017-11-03
1124538301 Kavitha Rajendran Physician Assistant 5851 W. 95th Street, Suite 300, Oak Lawn, IL 60453 2017-10-02
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164773743 Meagan Murphy Weiss Nurse Practitioner 4400 95th Street, Oak Lawn, IL 60453 2012-09-24
1952952467 Sarah Brignole Cannon Nurse Practitioner 4440 W 95th St, Oak Lawn, IL 60453-2600 2019-09-25
1356839765 Cali Arundel Nurse Practitioner 4440 W 95th St, Oak Lawn, IL 60453-2600 2018-05-01
1205341997 Ruchi Saini Nurse Practitioner 4861 W 95th St, Oak Lawn, IL 60453 2017-12-05
1548787062 Emily Ash Gallant Nurse Practitioner 4440 W 95th St, Oak Lawn, IL 60453-2600 2017-08-25
1508221003 Sofia Mitchell Nurse Practitioner 4440 W 95th St, Oak Lawn, IL 60453-2600 2015-12-28
1265856264 Lauren Ann Kriedemann Nurse Practitioner 4440 W 95th St, Oak Lawn, IL 60453-2600 2014-02-11
1649692435 Stephanie Mensch Nurse Practitioner 4440 W 95th St, Oak Lawn, IL 60453-2600 2014-01-13
1780021535 Amanda A Stump Nurse Practitioner 4440 W 95th St, Oak Lawn, IL 60453-2600 2013-06-03
1396189833 Ashley Nicole Hutchinson Nurse Practitioner 4440 W 95th St, Oak Lawn, IL 60453-2600 2013-04-27
Find all providers in OAK LAWN

Competitor

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City OAK LAWN
Zip Code 60453

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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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