Rachael W Gathonjia

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209.015384 Issued in IL

Practice address

815 N Larkin Ave Ste 105
Joliet, IL 60435-3454

Phone

(815) 714-2271

NPI assigned

Jun 27, 2017

Last updated

Jun 27, 2017By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Illinois Wellness Group of Joliet, LTD

  dba Joliet Medical Center

  • General Practice Physician
  • Joliet, IL
  • NPI 1215342829
  NPD (past)

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498521600000",
    "number": "1245750579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 N LARKIN AVE STE 105",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604353454",
            "telephone_number": "815-714-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 N LARKIN AVE STE 105",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604353454",
            "telephone_number": "815-714-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATHONJIA",
        "first_name": "RACHAEL",
        "middle_name": "W",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2017-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.015384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yessenia Maria Garza, LPC
• Melissa Gaston, LCSW
• Andrew Gates, ATC
• Gateway Foundation Inc.
• Gateway Professional Services, PC
• Tischelle Gatlin, M.D.
• Maya Akai Monet Gavin, LPC
• Travis Andre Gayles, MD, PHD
• GBM Associates Inc (Everything In Sight)
• Janet Gehrig, LCPC

• Family Nurse Practitioner in Joliet, IL
• Providers in Joliet, 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 Jun 27, 2017; 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.