Gurnee Stone Medical Center PC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

GURNEE STONE MEDICAL CENTER PC

Practice address

7505 Grand Ave
Gurnee, IL 60031-1551

Phone

(847) 856-7615

Fax

(847) 245-7070

NPI assigned

May 5, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Rajesh Sharma, M.D.

Title

Director

Phone

(847) 856-7615

Specialties & licenses 1

Addresses

Tax ID family

Gurnee Stone Medical Center PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Gurnee Stone Medical Center P.C

  • Primary Care Clinic/Center
  • Gurnee, IL
  • NPI 1205005717
  NPD tax ID

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1659547172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 GRAND AVE",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600311551",
            "telephone_number": "847-856-7615",
            "fax_number": "847-245-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 GRAND AVE",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600311551",
            "telephone_number": "847-856-7615",
            "fax_number": "847-245-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GURNEE STONE MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "RAJESH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-856-7615",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gurnee Pediatrics, S.C.
• Gurnee Physical Medicine LTD
• Gurnee Radiology Center, LLC
• Gurnee School District 56
• Gurnee Stone Medical Center P.C
• Gurnee Supportive Living, LP
• Gurnee Surgicare LLC
• Gurneectd LLC
• Deborah A. Gust, M.A.
• Alma Guzman, MD

• Health Maintenance Organization in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Health Maintenance Organization in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.