Gabriela Bogacz, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

041492453 Issued in IL

Practice address

16465 Newbury CT
Crest Hill, IL 60403-0793

Phone

(815) 793-6376

NPI assigned

Nov 14, 2022

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1346958840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16465 NEWBURY CT",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604030793",
            "telephone_number": "815-793-6376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16465 NEWBURY CT",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604030793",
            "telephone_number": "815-793-6376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGACZ",
        "first_name": "GABRIELA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041492453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory J Bezanis, MD
• Ashok H Bhaskar, MD
• Tanya Bhattacharya, MD
• Brittany Olivia Bishop, LCPC, ATR-BC, RYT
• Brittney Blackamore, BCBA
• Margaret Bojarski, FNP-BC
• Christina Ryan Brand, M.S. CCC-A
• Debra Brandt, A.P.N.
• Jessica Braun
• Thomas Barrett Braun, D.D.S.

• Registered Nurse in Crest Hill, IL
• Providers in Crest Hill, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.