Individual provider Active NPI

Marcelina Aniela Gora, FNP-BC

  • Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1689495277
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209030691 Issued in IL
Practice address
2333 N Harlem Ave
Chicago, IL 60707-2718
Phone
(773) 637-2333
Fax
(773) 637-4229
NPI assigned
Oct 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209030691 IL Primary

Addresses

Primary practice location

2333 N Harlem Ave
Chicago, IL 60707-2718

Mailing address

822 E Old Willow Rd Apt 204
Prospect Heights, IL 60070-2113
Phone (708) 560-1900

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

State licenses

LicenseStateTypeSpecialty
209030691ILMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1689495277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 E OLD WILLOW RD APT 204",
            "city": "PROSPECT HEIGHTS",
            "state": "IL",
            "postal_code": "600702113",
            "telephone_number": "708-560-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 N HARLEM AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "607072718",
            "telephone_number": "773-637-2333",
            "fax_number": "773-637-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORA",
        "first_name": "MARCELINA",
        "middle_name": "ANIELA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-17",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209030691",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 19, 2026; 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.