Gold Coast Orthopedics and Rehabilitation, LTD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

036052805 Issued in IL

Legal business name

GOLD COAST ORTHOPEDICS AND REHABILITATION, LTD

Practice address

10140 191St St
Mokena, IL 60448-9381

Phone

(708) 719-3527

NPI assigned

Dec 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jacob Morgenstern, M.D.

Title

Owner

Phone

(708) 719-3527

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Iryna Hornback, APRN-FPA, FNP-C

  • Family Nurse Practitioner
  • Mokena, IL
  • NPI 1508139023
  NPD

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1194887166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1443 N DEARBORN ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606101505",
            "telephone_number": "708-719-3527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10140 191ST ST",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604489381",
            "telephone_number": "708-719-3527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD COAST ORTHOPEDICS AND REHABILITATION, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "MORGENSTERN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-719-3527",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036052805",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1750475349",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "01636549",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Gilman
• Glen Ridge Imaging LTD
• Kelly Rae Glenn-Snyder, N.P.
• Kyle Michelle Gniadek
• Gwen R Gola, PT
• Ashley Renae Gomulka, APRN, FNP-BC
• Lashawn Gordon, FNP
• Kerri Gorecki
• Melissa Grahonya
• Colleen M Grandowski, ACNP

• Orthopaedic Surgery Physician in Mokena, IL
• Providers in Mokena, IL by specialty
• Orthopaedic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.