Gypsum Medical Associates of California PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GYPSUM MEDICAL ASSOCIATES OF CALIFORNIA PC

Practice address

4805 Prime Pkwy
McHenry, IL 60050-7002

Phone

(815) 363-9500

NPI assigned

Aug 22, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Glimp, MD

Title

President

Phone

(815) 363-9500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1194270926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4805 PRIME PKWY",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600507002",
            "telephone_number": "815-363-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 PRIME PKWY",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600507002",
            "telephone_number": "815-363-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GYPSUM MEDICAL ASSOCIATES OF CALIFORNIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-22",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "GLIMP",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-363-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariah Gunther
• Evelyn Gurske
• David M Gute
• Alejandra Ethel Gutierrez
• Andrew Gwost, PT
• Oscar H Habhab
• Michelle Lorraine Hackerd
• Julie Haddix
• Izna Hadi, MD
• Travis J Hafford, BA

• Family Medicine Physician in McHenry, IL
• Providers in McHenry, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.