Mark Anthony Gurgone, RPH., BCNP

Primary specialty

Nuclear PharmacistTaxonomy code 1835N0905X

License

051.286647 Issued in IL

Practice address

161 Tower Dr
Unit a
Burr Ridge, IL 60527-5776

Phone

(630) 321-0218

Fax

(630) 321-0345

NPI assigned

Oct 16, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357257600000",
    "number": "1063502268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7606 RED OAK DR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605862510",
            "telephone_number": "815-782-4743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 TOWER DR",
            "address_2": "UNIT A",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605275776",
            "telephone_number": "630-321-0218",
            "fax_number": "630-321-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURGONE",
        "first_name": "MARK",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "RPH., BCNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2013-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835N0905X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nuclear",
            "state": "IL",
            "license": "051.286647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iris Victoria Goss
• Paull Christopher Gossett, DDS
• Great Lakes Endocrine and General Surgery LLC
• Jared Asher Greenberg, M.D.
• Sarah A Gura, M.A., L.C.P.C.
• Subina Gurung, M.D.
• Benjamin Gusek, PA-C
• Colleen A Hagen, M.D.
• Alison V Hahn, LCSW, CADC
• Russell Hall, MD

• Pharmacist in Burr Ridge, IL
• Providers in Burr Ridge, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.