Active NPI
Vanessa Louise Gates, MS, DABR, DABSNM
- Radiological Physics Physician
- Chicago, IL
National Provider Identifier
1447767710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiological Physics Physician
- License
- IL-01037-02
- Practice address
- 251 E Huron St
Galter Pavilion 8-118
Chicago, IL 60611 - Phone
- (312) 926-3138
- NPI assigned
- Jan 8, 2018
- 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 |
|---|---|---|---|---|
| Radiological Physics Physician | 2085R0205X | IL-01037-02 | IL | Primary |
Addresses
Primary practice location
251 E Huron St
Galter Pavilion 8-118
Chicago, IL 60611
Mailing address
401 E Ontario St Apt 1010
Chicago, IL 60611-7167
Phone (312) 520-2893
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P2367 | Other | AMERICAN BOARD OF RADIOLOGY - MEDICAL PHYSICS CERTIFICATE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IL-01037-02 | IL | MD | Radiological Physics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515369600000",
"number": "1447767710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 E ONTARIO ST APT 1010",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606117167",
"telephone_number": "312-520-2893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 E HURON ST",
"address_2": "GALTER PAVILION 8-118",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60611",
"telephone_number": "312-926-3138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATES",
"first_name": "VANESSA",
"middle_name": "LOUISE",
"name_prefix": "Ms.",
"credential": "MS, DABR, DABSNM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-08",
"last_updated": "2018-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0205X",
"taxonomy_group": "",
"desc": "Radiology, Radiological Physics",
"state": "IL",
"license": "IL-01037-02",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN BOARD OF RADIOLOGY - MEDICAL PHYSICS CERTIFICATE",
"identifier": "P2367",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.