Individual provider Active NPI

Christopher Miracle Gbunnor

  • Psychiatric/Mental Health Nurse Practitioner
  • Palos Heights, IL
National Provider Identifier
1306797717
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209034417 Issued in IL
Practice address
7300 W College Dr Ste 102
Palos Heights, IL 60463-1181
Phone
(708) 296-0230
NPI assigned
Feb 4, 2026
Last updated
Feb 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209034417 IL Primary

Addresses

Primary practice location

7300 W College Dr Ste 102
Palos Heights, IL 60463-1181

Mailing address

6603 S Rhodes Ave Apt 1N
Chicago, IL 60637-4144
Phone (872) 808-9152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
209034417ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Relief Urgent Care LLC Past Accepting new patients
Yusuf Salah LLC Psychiatric/Mental Health PastSince Jun 1, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1770163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1306797717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6603 S RHODES AVE APT 1N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606374144",
            "telephone_number": "872-808-9152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 W COLLEGE DR STE 102",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631181",
            "telephone_number": "708-296-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GBUNNOR",
        "first_name": "CHRISTOPHER",
        "middle_name": "MIRACLE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-02-04",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209034417",
            "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 Feb 4, 2026; 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.