Eyal Ginesin, SA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

PENDING Issued in IL

Practice address

1010 Executive Dr Ste 250
Westmont, IL 60559-6137

Phone

(630) 920-2350

Fax

(630) 794-8620

NPI assigned

Mar 6, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1255899548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 EXECUTIVE DR STE 250",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605596137",
            "telephone_number": "630-920-2350",
            "fax_number": "630-794-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 EXECUTIVE DR STE 250",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605596137",
            "telephone_number": "630-920-2350",
            "fax_number": "630-794-8620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 W Ogden Ave",
            "address_purpose": "LOCATION",
            "city": "Hinsdale",
            "state": "IL",
            "postal_code": "605213186",
            "country_code": "US",
            "telephone_number": "630-323-6116",
            "fax_number": "630-794-8620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GINESIN",
        "first_name": "EYAL",
        "credential": "SA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-06",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "IL",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS SURGICAL ASSISTANT LICENSE",
            "identifier": "PENDING",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Geriatric Vision Care LLC
• Emily Christine Gibson, MA, LCPC, NCC
• Debra Susan Gill, FNP
• Debra E. Gillespie, RN
• Alexandra Gilroy
• Catherine Giuffre
• Matthew Glad, PHARMD
• Diana Lynn Glende, LCSW
• Jill Steinhoff Goeltz, PA-C
• Alex Goldberg, BA

• Surgical Assistant in Westmont, IL
• Providers in Westmont, IL by specialty
• Surgical Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; 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.