Nanette Gormley MD SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NANETTE GORMLEY MD SC

Practice address

9641 W 153Rd St
Suite 48
Orland Park, IL 60462-3775

Phone

(708) 403-0431

NPI assigned

May 26, 2006

Last updated

Dec 8, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nanette Gormley, MD

Title

Owner / Physician

Phone

(708) 403-0431

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1972559417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9641 W 153RD ST",
            "address_2": "SUITE 48",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9641 W 153RD ST",
            "address_2": "SUITE 48",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623775",
            "telephone_number": "708-403-0431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANETTE GORMLEY MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "GORMLEY",
        "authorized_official_first_name": "NANETTE",
        "authorized_official_title_or_position": "OWNER / PHYSICIAN",
        "authorized_official_telephone_number": "708-403-0431",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0001634281",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Priya Naik
• Andrew Nail, LSW
• Larry Vincent Najera III, M.D.
• Alexandra P Nakvosas, MA
• Jennifer D Nalls
• Lisa Maria Nardi, LCPC
• Nathaniel Stephen Rood D.D.S., LTD. (Orland Smiles)
• National Imaging LLC (Molecular Imaging of Orland Park)
• National Vision Inc (America's Best Contacts & Eyeglasses)
• Maria Natividad, RN,BSN,CDE

• Internal Medicine Physician in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.