NPIMap

Organization Active NPI

Gel M Gowin,Inc.

  • Eyewear Supplier
  • Evergreen Park, IL
National Provider Identifier
1225351471
Registry record updated Mar 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
37582585 Issued in IL
Legal business name
GEL M GOWIN,INC.
Practice address
3541 W 95TH St
Evergreen Park, IL 60805-2135
Phone
(708) 425-4162
Fax
(708) 425-8708
NPI assigned
Mar 2, 2010
Last updated
Mar 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2010

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

Authorized official

Name
Angelita M GowinNPI 1821132515
Title
Owner
Phone
(708) 425-4162

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 37582585 IL Primary

Addresses

Primary practice location

3541 W 95TH St
Evergreen Park, IL 60805-2135

Mailing address

3541 W 95TH St
Evergreen Park, IL 60805-2135
Phone (708) 425-4162

National Provider Directory

National Provider Directory

Locations

3541 W 95th St
Evergreen Pk, IL 60805
Phone (708) 425-4162

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267488000000",
    "number": "1225351471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3541 W 95TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052135",
            "telephone_number": "708-425-4162",
            "fax_number": "708-425-8708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3541 W 95TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052135",
            "telephone_number": "708-425-4162",
            "fax_number": "708-425-8708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEL M GOWIN,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-02",
        "last_updated": "2010-03-02",
        "status": "A",
        "authorized_official_last_name": "GOWIN",
        "authorized_official_first_name": "ANGELITA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-425-4162"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IL",
            "license": "37582585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; 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.