Individual provider Active NPI

Gretchen Ann Dabrowski, CNM

  • Advanced Practice Midwife
  • McHenry, IL
National Provider Identifier
1073744009
Registry record updated Aug 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
209007664 Issued in IL
Practice address
4119 W Shamrock LN
Suite 200
McHenry, IL 60050-8268
Phone
(815) 344-1611
Fax
(815) 344-1614
NPI assigned
Aug 8, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 209007664 IL Primary

Addresses

Primary practice location

4119 W Shamrock LN
Suite 200
McHenry, IL 60050-8268

Mailing address

4119 W Shamrock LN
Suite 200
McHenry, IL 60050-8268
Phone (815) 344-1611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110114000177 IL Practitioner - Certified Nurse Midwife (CNM) 8527257005 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
George L Stankevych MD PC CurrentSince Dec 7, 2010 Accepting new patients

Locations

4119 W Shamrock Ln
McHenry, IL 60050
Phone (815) 344-1611

4119 W Shamrock Ln
Ste 200
McHenry, IL 60050
Phone (815) 344-1611

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1249689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249689600000",
    "number": "1073744009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4119 W SHAMROCK LN",
            "address_2": "SUITE 200",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508268",
            "telephone_number": "815-344-1611",
            "fax_number": "815-344-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4119 W SHAMROCK LN",
            "address_2": "SUITE 200",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508268",
            "telephone_number": "815-344-1611",
            "fax_number": "815-344-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABROWSKI",
        "first_name": "GRETCHEN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-08",
        "last_updated": "2009-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "209007664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McHenry, IL

Sources for this page

Verify at the official NPI Registry.