Gail Mikucki, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209009294 Issued in IL

Practice address

800 Biesterfield Rd
Elk Grove VLG, IL 60007-3361

Phone

(440) 887-4718

Fax

(440) 842-8835

NPI assigned

Feb 17, 2012

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Illinois Emergency Medicine Specialists, LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Bolingbrook, IL
  • NPI 1003150962
  Medicare reassignment NPD
• Mansoor Khan MD SC

  • Internal Medicine Physician
  • Elk Grove Village, IL
  • NPI 1710185426
  Medicare reassignment NPD
• Physicians Immediate Care North Chicago LLC

  • Urgent Care Clinic/Center
  • Chicago, IL
  • NPI 1205814118
  Medicare reassignment NPD

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

{
    "created_epoch": "1329436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329436800000",
    "number": "1225301575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD",
            "city": "ELK GROVE VLG",
            "state": "IL",
            "postal_code": "600073361",
            "telephone_number": "440-887-4718",
            "fax_number": "440-842-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD",
            "city": "ELK GROVE VLG",
            "state": "IL",
            "postal_code": "600073361",
            "telephone_number": "440-887-4718",
            "fax_number": "440-842-8835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKUCKI",
        "first_name": "GAIL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-17",
        "last_updated": "2012-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209009294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria a Castellese D C P C
• Joanna Masias
• Mitchell Brian McShane, DMD
• Genesis Mendez, RBT
• Stephen Jarred Mendoza, RBT
• Katlin R Millin, DPT
• Khaleelah Muhammad
• John Muszynski
• Premalatha Nandkumar
• Lauren Ann Nelson, NURSE PRACTITIONER

• Family Nurse Practitioner in Elk Grove VLG, IL
• Providers in Elk Grove VLG, 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 Feb 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.