Individual provider Active NPI

Gwendolyn Louise Kartje, M.D., P.HD

  • Neurology Physician
  • Hines, IL
National Provider Identifier
1437252921
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Practice address
Hines VA Hospital, Roosevelt Rd and 5TH Ave
Building One, Room F201, Routing Number 127
Hines, IL 60141
Phone
(708) 202-2844
Fax
(708) 202-7936
NPI assigned
Sep 7, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X IL Primary

Addresses

Primary practice location

Hines VA Hospital, Roosevelt Rd and 5TH Ave
Building One, Room F201, Routing Number 127
Hines, IL 60141

Mailing address

Hines VA Hospital, Roosevelt Rd and 5TH Ave
Building One, Room F201, Routing Number 127
Hines, IL 60141
Phone (708) 202-2844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
036-081847ILMDNeurology Physician

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437252921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HINES VA HOSPITAL, ROOSEVELT RD AND 5TH AVE",
            "address_2": "BUILDING ONE, ROOM F201, ROUTING NUMBER 127",
            "city": "HINES",
            "state": "IL",
            "postal_code": "60141",
            "telephone_number": "708-202-2844",
            "fax_number": "708-202-7936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HINES VA HOSPITAL, ROOSEVELT RD AND 5TH AVE",
            "address_2": "BUILDING ONE, ROOM F201, ROUTING NUMBER 127",
            "city": "HINES",
            "state": "IL",
            "postal_code": "60141",
            "telephone_number": "708-202-2844",
            "fax_number": "708-202-7936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARTJE",
        "first_name": "GWENDOLYN",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "M.D., P.HD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hines, IL

Sources for this page

Verify at the official NPI Registry.