Individual provider Active NPI

Gunash M Ismailova, APN

  • Acute Care Nurse Practitioner
  • Elk Grove VLG, IL
National Provider Identifier
1386418614
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
209027776 Issued in IL
Practice address
800 Biesterfield Rd Ste 510
Elk Grove VLG, IL 60007-3367
Phone
(847) 981-3660
NPI assigned
Nov 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 041465571 IL
Acute Care Nurse Practitioner 363LA2100X 209027776 IL Primary

Addresses

Primary practice location

800 Biesterfield Rd Ste 510
Elk Grove VLG, IL 60007-3367

Mailing address

800 Biesterfield Rd Ste 510
Elk Grove VLG, IL 60007-3367
Phone (847) 981-3660

Other practice location 1

1555 Barrington Rd
Hoffman Estates, IL 60169-1019
Phone (847) 843-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240104000900 IL Practitioner - Nurse Practitioner 4183075146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alexian Brothers Medical Group Specialty CareGroup PAC ID 1456636612, 22 clinicians

Practice addresses (Care Compare)

7001 W Cullom Ave
Norridge, IL 60706-7100
Phone (847) 252-6090

Hospital & facility affiliations

  • Alexian Brothers Medical Center 1 Hospital, Elk Grove Village, IL, CCN 140258

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
041465571ILMDCritical Care Medicine Registered Nurse
209027776ILMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alexian Brothers Medical Group Specialty Care CurrentSince Aug 1, 2024 Accepting new patients

Locations

800 Biesterfield Rd
Ste 510
Elk Grove Vlg, IL 60007
Phone (847) 981-3360

1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923

7001 W Cullom Ave
Norridge, IL 60706
Phone (414) 721-8669

25 E Schaumburg Rd
Ste 101
Schaumburg, IL 60194
Phone (630) 333-6218

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1386418614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD STE 510",
            "city": "ELK GROVE VLG",
            "state": "IL",
            "postal_code": "600073367",
            "telephone_number": "847-981-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD STE 510",
            "city": "ELK GROVE VLG",
            "state": "IL",
            "postal_code": "600073367",
            "telephone_number": "847-981-3660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1555 Barrington Rd",
            "address_purpose": "LOCATION",
            "city": "Hoffman Estates",
            "state": "IL",
            "postal_code": "601691019",
            "country_code": "US",
            "telephone_number": "847-843-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISMAILOVA",
        "first_name": "GUNASH",
        "middle_name": "M",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-07",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "IL",
            "license": "041465571",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IL",
            "license": "209027776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove VLG, IL

Sources for this page

Verify at the official NPI Registry.