Nora Gumayagay Kadolph, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209-004307 Issued in IL

Practice address

750 Fletcher Dr Ste 305
Elgin, IL 60123-4756

Phone

(847) 742-3333

Fax

(847) 742-3070

NPI assigned

Sep 16, 2006

Sex

Female

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)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1154427193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 FLETCHER DR",
            "address_2": "STE 305",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234756",
            "telephone_number": "847-742-3333",
            "fax_number": "847-742-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 FLETCHER DR STE 305",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234756",
            "telephone_number": "847-742-3333",
            "fax_number": "847-742-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADOLPH",
        "first_name": "NORA",
        "middle_name": "GUMAYAGAY",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209-004307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallory Kaitlyn Jump
• Mary Jung, MD
• Michael E Jung, D.C.
• Sadie Jurkovic
• Eric Carl Kachold
• Balbina Kainz
• Kairos Family Center, Inc.
• Monika Kak, D.D.S.
• Edward Kalsbeek, D.D.S.
• Phillip Kaltenthaler, OD

• Family Nurse Practitioner in Elgin, IL
• Providers in Elgin, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.