A. GWENDOLYN NOBLE (NPI# 1790763670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790763670 |
| Entity Type | Individual |
| Full Name | A. GWENDOLYN NOBLE |
| Other Name | ALMA GWENDOLYN NOBLE |
| Credential | M.D., PH.D. |
| Practice Address |
7638 W North Ave Elmwood Park IL 60707-4157 |
| Practice Telephone | 7084524257 |
| Practice Fax Number | 7084524283 |
| Mailing Telephone | 7084524257 |
| Mailing Fax Number | 7084524283 |
| Enumeration Date | 2006-01-02 |
| Last Update Date | 2012-02-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 036-080087 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 363842073 | 05 |
| Street Address |
7638 W NORTH AVE |
| City | ELMWOOD PARK |
| State | IL |
| Zip Code | 60707-4157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912994393 | Michael Hennessey | Ophthalmology | 7638 W North Ave, Elmwood Park, IL 60707-4157 | 2005-09-30 |
| 1386736650 | Oak Park Eye Center S.c. | Clinic/Center | 7638 W North Ave, Elmwood Park, IL 60707-4157 | 2006-09-28 |
| 1154309821 | Manuel D Santiago | Ophthalmology | 7638 W North Ave, Elmwood Park, IL 60707-4157 | 2006-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679077408 | Karen Ennis, Slp, Inc. | Speech-Language Pathologist | 1709 73rd Ct, Elmood Park, IL 60707 | 2018-03-19 |
| 1518324995 | Dosha Grant | Registered Nurse | 2317 N Rutherford, Elmwood Park, IL 60707 | 2016-01-15 |
| 1962774794 | Oak Park Dental Group | Dentist | 7034 W. North Ave., Chicago, IL 60707 | 2012-02-09 |
| 1326277005 | Resurrection Services | Internal Medicine | 2433 North Harlem Ave, Ste 100, Chicago, IL 60707 | 2009-07-02 |
| 1134370059 | Mefagui Dental Office P.C. | Dentist | 6913 W. Grand Ave, Chicago, IL 60707 | 2008-10-09 |
| 1821265760 | Carly M. Smith | Chiropractor | 7716 W. North, Elmwood Pk, IL 60707 | 2008-05-09 |
| 1063695096 | Henry J. Hagopian D.d.s. P.C. | Dentist | 7518 W. North Avenue, Elmwood Park, IL 60707 | 2007-12-13 |
| 1386864411 | Brian M Caraba Dds PC | Dentist | 7124 W Diversey Ave, Chicago, IL 60707 | 2007-04-30 |
| 1104041243 | Clinics for Wellness and Neuropathy, LLC | Internal Medicine | 2333 N. Harlem, Chicago, IL 60707 | 2007-04-16 |
| 1972621050 | Sid Anderson | Psychologist | 2408 Westbrook Drive, Elmwood Park, IL 60707 | 2007-03-27 |
| Find all providers in zip 60707 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235109927 | Adam Seth Friend | Ophthalmology | One Broadway, Suite 404, Elmwood Park, NJ 07407 | 2006-01-25 |
| 1598742736 | Michael K Maley | Ophthalmology | 619 River Dr, Second Floor, Elmwood Park, NJ 07407-1317 | 2005-12-29 |
| 1063401784 | Peter Panton | Ophthalmology | 7740 W North Ave, Elmwood Park, IL 60707-4124 | 2005-10-15 |
| 1912994393 | Michael Hennessey | Ophthalmology | 7638 W North Ave, Elmwood Park, IL 60707-4157 | 2005-09-30 |
| 1063567790 | Eye Care Associates of New Jersey, Pa | Ophthalmology | 1 Broadway, Suite 404, Elmwood Park, NJ 07407-1842 | 2007-01-24 |
| 1851471379 | Phillips Eye Center Pa | Ophthalmology | 619 River Drive, Center One, Second Floor, Elmwood Park, NJ 07407 | 2006-10-17 |
| 1245310531 | Jacqueline E Gabay | Ophthalmology | 619 River Dr, Phillips Eye Center, Elmwood Park, NJ 07407-1317 | 2006-10-17 |
| 1629036306 | Hadley H Phillips | Ophthalmology | 619 River Dr, Elmwood Park, NJ 07407-1317 | 2006-05-03 |
| 1013995232 | Irene M Bakos | Ophthalmology | 7740 W North Ave, Elmwood Park, IL 60707-4116 | 2006-01-06 |
| 1154309821 | Manuel D Santiago | Ophthalmology | 7638 W North Ave, Elmwood Park, IL 60707-4157 | 2006-01-04 |
| Find all providers in ELMWOOD PARK | ||||
| City | ELMWOOD PARK |
| Zip Code | 60707 |
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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.