Active NPI
Gwendolyn Louise Kartje, M.D., P.HD
- Neurology Physician
- Hines, IL
National Provider Identifier
1437252921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- 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, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-081847 | IL | MD | Neurology 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.