Individual provider Active NPI

Hoang Gralewski, FNP

  • Registered Nurse
  • St Charles, IL
National Provider Identifier
1871307991
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
041.530910 Issued in IL
Practice address
40W310 Lafox Rd
Saint Charles, IL 60175-6588
Phone
(630) 518-1503
NPI assigned
Feb 7, 2025
Last updated
Feb 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041.530910 IL Primary

Addresses

Primary practice location

40W310 Lafox Rd
Saint Charles, IL 60175-6588

Mailing address

38W476 N Lakeview Cir
Saint Charles, IL 60175-6172
Phone (630) 518-1503

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
041.530910ILMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1871307991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38W476 N LAKEVIEW CIR",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601756172",
            "telephone_number": "630-518-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40W310 LAFOX RD",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601756588",
            "telephone_number": "630-518-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRALEWSKI",
        "first_name": "HOANG",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-07",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.530910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.