Geriatric Care Specialists, LTD

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

036075925 Issued in IL

Legal business name

GERIATRIC CARE SPECIALISTS, LTD

Practice address

1700 Robin LN
Lisle, IL 60532-4155

Phone

(630) 800-5646

NPI assigned

Jul 21, 2008

Organization subpart

No

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

Authorized official

Name

Jerome Donnelly, DO

Title

President

Phone

(630) 800-5646

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220486400000",
    "number": "1497910418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 900",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605250900",
            "telephone_number": "630-800-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 ROBIN LN",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605324155",
            "telephone_number": "630-800-5646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC CARE SPECIALISTS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2008-09-04",
        "status": "A",
        "authorized_official_last_name": "DONNELLY",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-800-5646",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036075925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alondra Garcia, LCSW
• Fabricio Garcia
• Guadalupe Garcia, DC
• Rosen Gerald Gavino
• Michael Genslinger, D.C.
• Giant Steps
• Giant Steps
• Shannon Giovingo, MSW, LSW
• Rita A Giudice, SPT
• Amy Glinke, LPC

• Geriatric Medicine (Family Medicine) Physician in Lisle, IL
• Providers in Lisle, IL by specialty
• Geriatric Medicine (Family Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.