Individual provider Active NPI

Helen Gondek, DPT

  • Physical Medicine & Rehabilitation Physician
  • Spring Grove, IL
National Provider Identifier
1215446182
Registry record updated Sep 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
070018825 Issued in IL
Practice address
2900 N US Highway 12 Ste J
Spring Grove, IL 60081-8322
Phone
(815) 675-0699
Fax
(815) 675-0689
NPI assigned
Sep 23, 2017
Last updated
Sep 23, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 070018825 IL Primary

Addresses

Primary practice location

2900 N US Highway 12 Ste J
Spring Grove, IL 60081-8322

Mailing address

PO Box 362
Spring Grove, IL 60081-0362
Phone (815) 675-0699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1506124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506124800000",
    "number": "1215446182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 362",
            "city": "SPRING GROVE",
            "state": "IL",
            "postal_code": "600810362",
            "telephone_number": "815-675-0699",
            "fax_number": "815-675-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 N US HIGHWAY 12 STE J",
            "city": "SPRING GROVE",
            "state": "IL",
            "postal_code": "600818322",
            "telephone_number": "815-675-0699",
            "fax_number": "815-675-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONDEK",
        "first_name": "HELEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-23",
        "last_updated": "2017-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "070018825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2017; 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.