Gembara Occupational Therapy

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

056006659 Issued in IL

Legal business name

GEMBARA OCCUPATIONAL THERAPY

Practice address

11025 Mason Ave
Chicago Ridge, IL 60415-2237

Phone

(773) 710-3373

NPI assigned

Apr 13, 2011

Organization subpart

No

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

Authorized official

Name

Jill Gembara

Title

President

Phone

(773) 710-3373

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1811287790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606295560",
            "telephone_number": "773-710-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11025 MASON AVE",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604152237",
            "telephone_number": "773-710-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEMBARA OCCUPATIONAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "GEMBARA",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-710-3373"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "IL",
            "license": "056006659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Eye Professionals LTD
• Ma Cathrina Fegalquin
• For Eyes Optical Company of PA
• Lauren Marisa Garcia, MS
• Madysen Nicole Gault
• Anjali George, PA
• John J Gnap, MD
• James John Gordon, NP
• Paul James Gordon, MD
• Dean Michael Govostis, M.D.

• Rehabilitation Clinic/Center in Chicago Ridge, IL
• Providers in Chicago Ridge, IL by specialty
• Rehabilitation Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.