Active NPI
Gisselle Guingon
- Physical Therapist
- Palos Heights, IL
National Provider Identifier
1265709224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070018429
- Practice address
- 12550 S Ridgeland Ave
Palos Heights, IL 60463-1859 - Phone
- (708) 597-9300
- NPI assigned
- Nov 18, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070018429 | IL | Primary |
Addresses
Primary practice location
12550 S Ridgeland Ave
Palos Heights, IL 60463-1859
Mailing address
12550 S Ridgeland Ave
Palos Heights, IL 60463-1859
Phone (708) 597-9300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070018429 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorycare Corporation | Current | Accepting new patients | |
| Cortlyn Therapy, PC | Physical Therapist | Current | Accepting new patients |
Locations
2835 N Sheffield Ave
Ste 202
Chicago, IL 60657
Phone (773) 328-2025
28100 Torch Pkwy
Ste 600
Warrenville, IL 60555
Phone (630) 250-4576
7125 Janes Ave
Ste 300
Woodridge, IL 60517
Phone (630) 413-5817
Organizations & group practices 3
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.
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- NPI 1609193515
-
- Physical Therapist
- North Riverside, IL
- NPI 1699094102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321574400000",
"number": "1265709224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12550 S RIDGELAND AVE",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604631859",
"telephone_number": "708-597-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12550 S RIDGELAND AVE",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604631859",
"telephone_number": "708-597-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUINGON",
"first_name": "GISSELLE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-18",
"last_updated": "2011-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070018429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palos Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.