KATHRYN GAMBACH (NPI# 1912238072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912238072 |
Entity Type | Individual |
Full Name | KATHRYN GAMBACH |
Practice Address |
5341 W Cermak Rd Cicero IL 60804-2817 |
Practice Telephone | 7086566430 |
Mailing Telephone | 7086566430 |
Enumeration Date | 2010-01-28 |
Last Update Date | 2010-01-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
5341 W CERMAK RD |
City | CICERO |
State | IL |
Zip Code | 60804-2817 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831119767 | Family Service and Mental Health Center of Cicero | Community/Behavioral Health | 5341 W Cermak Rd, Cicero, IL 60804-2817 | 2006-07-21 |
1265042048 | Fernando Romulo Jr. | Counselor | 5341 W Cermak Rd, Cicero, IL 60804-2817 | 2020-08-05 |
1942855994 | Aida Rodriguez | Student in an Organized Health Care Education/Training Program | 5341 W Cermak Rd, Cicero, IL 60804-2817 | 2019-08-06 |
1154884013 | Marisol Guadalupe Arreola | Counselor | 5341 W Cermak Rd, Cicero, IL 60804-2817 | 2019-04-08 |
1487148730 | Eddy Barajas | Counselor | 5341 W Cermak Rd, Cicero, IL 60804-2892 | 2018-06-20 |
1699296160 | Daisy Lemus | Counselor | 5341 W Cermak Rd, Cicero, IL 60804-2817 | 2017-07-05 |
1023548955 | Roxanna Chavez | Student in an Organized Health Care Education/Training Program | 5341 W Cermak Rd, Cicero, IL 60804-2817 | 2017-06-13 |
1477080984 | Carolina Rada | Counselor | 5341 W Cermak Rd, Cicero, IL 60804-2817 | 2017-05-15 |
1700262235 | Carol Salas | Student in an Organized Health Care Education/Training Program | 5341 W Cermak Rd, Cicero, IL 60804-2817 | 2015-08-06 |
1255716288 | Erica Linares | Student in an Organized Health Care Education/Training Program | 5341 W Cermak Rd, Cicero, IL 60804-2817 | 2015-07-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265096945 | Jacqueline N/a Gonzalez | Physical Therapy Assistant | 3521 S 56th Ct, Cicero, IL 60804 | 2019-04-27 |
1265966832 | Jacqueline Calles | Substance Abuse Rehabilitation Facility | 4904 W. 32nd St, Cicero, IL 60804 | 2017-04-20 |
1346667771 | America's Best Contacts & Eyeglasses | Technician/Technologist | 4741 W Cermak Rd, Cicero, IL 60804 | 2014-03-24 |
1538580469 | Jesus Paul Sanchez | Behavioral Analyst | 3100 S. Central Ave, Cicero, IL 60804 | 2013-12-19 |
1568712123 | Monil P Shah Dmd PC | Dentist | 5539 W Cermak Road, Cicero, IL 60804 | 2012-09-11 |
1699073148 | Lolita Aguinaga | Social Worker | 5341 W. Cermak Road, Cicero, IL 60804 | 2011-03-08 |
1699949263 | Anne T Gearhart | Pediatrics | 2307 S Cicero Ave, Chicago, IL 60804 | 2008-04-15 |
1437332467 | J S Vitamins and More Inc | Durable Medical Equipment & Medical Supplies | 4785 W Cermatz, Circero, IL 60804 | 2007-12-13 |
1427171339 | Barbara J Majchrowski | Optometrist | 5729 W 35th Street, Suite 1east, Cicero, IL 60804 | 2007-04-06 |
1124190269 | Gulliume Moor | Psychologist | 6117 West Cermak Road, Cicero, IL 60804 | 2006-11-14 |
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Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730796442 | Jessica Marie Destefano | Student in an Organized Health Care Education/Training Program | 8623 Honeycomb Path, Cicero, NY 13039-7844 | 2020-09-26 |
1619465036 | Liam Michael Kennedy | Student in an Organized Health Care Education/Training Program | 5231 W 23rd Place, Cicero, IL 60804-2807 | 2018-05-01 |
1659732154 | Luis Perez | Student in an Organized Health Care Education/Training Program | 3115 S 53rd Ave, Cicero, IL 60804-3917 | 2016-03-10 |
1093194656 | Linda Estreya Anaya | Student in an Organized Health Care Education/Training Program | 5341 W. Cermak Rd, Family Service Mental Health Center of Cicero, Cicero, IL 60804-9001 | 2015-05-28 |
1942855994 | Aida Rodriguez | Student in an Organized Health Care Education/Training Program | 5341 W Cermak Rd, Cicero, IL 60804-2817 | 2019-08-06 |
1023548955 | Roxanna Chavez | Student in an Organized Health Care Education/Training Program | 5341 W Cermak Rd, Cicero, IL 60804-2817 | 2017-06-13 |
1700262235 | Carol Salas | Student in an Organized Health Care Education/Training Program | 5341 W Cermak Rd, Cicero, IL 60804-2817 | 2015-08-06 |
1255716288 | Erica Linares | Student in an Organized Health Care Education/Training Program | 5341 W Cermak Rd, Cicero, IL 60804-2817 | 2015-07-20 |
1114350766 | Edalia Fernandez | Student in an Organized Health Care Education/Training Program | 5341 W Cermak Rd, Cicero, IL 60804-2817 | 2013-08-19 |
1538497441 | Samar Harfi | Student in an Organized Health Care Education/Training Program | 5341 W Cermak Rd, Cicero, IL 60804-2817 | 2009-12-03 |
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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.