G and a Clinics

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036105798 Issued in IL

Legal business name

G AND A CLINICS

Practice address

657 E Golf Rd
Suite 311
Arlington Heights, IL 60005-4968

Phone

(847) 378-8233

NPI assigned

Nov 5, 2007

Organization subpart

No

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

Authorized official

Name

Jerry Andrews, DONPI 1205875507

Title

Owner / Physician

Phone

(630) 479-2722

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jerry Andrews, D.O.

  • Internal Medicine Physician
  • Arlington Heights, IL
  • NPI 1205875507
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1417137712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 967",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604770967",
            "telephone_number": "708-532-6029",
            "fax_number": "708-532-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 E GOLF RD",
            "address_2": "SUITE 311",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054968",
            "telephone_number": "847-378-8233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G AND A CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "OWNER / PHYSICIAN",
        "authorized_official_telephone_number": "630-479-2722",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036105798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "0001638427",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036105798",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annette M. Fuller, PMPNP-BC, MSN, CNL
• Lauren Fuller
• Alexandra Carrington Fulreader, DDS
• Carolynne R. Funk, PSY.D.
• Jessica L Funk, PSYD
• G. Leone, M.D., S.C. (Leone Dermatology Center)
• Cherry May Gabuyo
• Clara Gagnon
• Gail Bryant MDSC
• Noreen Galanter, MD

• Internal Medicine Physician in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.

Verify at the official NPI Registry.