Christine Mary Gawel

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

License

146005045 Issued in IL

Practice address

8259 Lavergne Ave
Burbank, IL 60459-2794

Phone

(708) 499-3049

NPI assigned

May 11, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1689258105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6817 W 110TH ST",
            "city": "WORTH",
            "state": "IL",
            "postal_code": "604821422",
            "telephone_number": "630-452-9624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8259 LAVERGNE AVE",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604592794",
            "telephone_number": "708-499-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAWEL",
        "first_name": "CHRISTINE",
        "middle_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "IL",
            "license": "146005045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cgawel@bsd111.org",
            "affiliation": "N",
            "endpointDescription": "District E-Mail",
            "address_1": "8259 Lavergne Ave",
            "city": "Burbank",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604592794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Hearing and Speech Clinic/Center in Burbank, IL
• Providers in Burbank, IL by specialty
• Hearing and Speech Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.