Organization Active NPI

Golden Star Healthcare Inc

  • Nurse Practitioner
  • Gurnee, IL
National Provider Identifier
1528812948
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
GOLDEN STAR HEALTHCARE INC
Doing business as
Golden Star Healthcare INC
Practice address
4017 Old Grand Ave
Gurnee, IL 60031-2848
Phone
(224) 946-6859
NPI assigned
Apr 12, 2024
Last updated
Oct 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Authorized official

Name
Ms. Marina Aurelio Estrella, FNPNPI 1154010353
Title
Owner
Phone
(224) 946-6859

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU

Addresses

Primary practice location

4017 Old Grand Ave
Gurnee, IL 60031-2848

Mailing address

4017 Old Grand Ave
Gurnee, IL 60031-2848
Phone (224) 946-6859

Other practice location 1

39256 N Queensbury Ln
Beach Park, IL 60083-3015
Phone (224) 946-6859

Other names 1

  • Golden Star Healthcare INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250305004211 IL Part B Supplier - Clinic/Group Practice 4789105834 Receives reassigned benefits from 1 practitioner
Practice locations: Waukegan, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790899200000",
    "number": "1528812948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4017 OLD GRAND AVE",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600312848",
            "telephone_number": "224-946-6859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4017 OLD GRAND AVE",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600312848",
            "telephone_number": "224-946-6859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39256 N Queensbury Ln",
            "address_purpose": "LOCATION",
            "city": "Beach Park",
            "state": "IL",
            "postal_code": "600833015",
            "country_code": "US",
            "telephone_number": "224-946-6859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOLDEN STAR HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-12",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A",
        "authorized_official_last_name": "ESTRELLA",
        "authorized_official_first_name": "MARINA",
        "authorized_official_middle_name": "AURELIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-946-6859",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Star Healthcare INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gurnee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; 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.