| Ggl Healthcare Associates, Pllc | |
|
9933 Lawler Ave Ste 440 Skokie IL 60077-3720 | |
| (847) 529-5332 | |
| Not Available |
| Full Name | Ggl Healthcare Associates, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9933 Lawler Ave Ste 440, Skokie, Illinois |
| Authorized Official Name and Position | Boris Gurevich (OFFICER) |
| Authorized Official Contact | 8472265503 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ggl Healthcare Associates, Pllc 342 S Milwaukee Ave Wheeling IL 60090-5021 Ph: () - | Ggl Healthcare Associates, Pllc 9933 Lawler Ave Ste 440 Skokie IL 60077-3720 Ph: (847) 529-5332 |
| NPI Number | 1972215390 |
|---|---|
| Provider Enumeration Date | 12/16/2022 |
| Last Update Date | 01/09/2023 |
| Medicare PECOS PAC ID | 0749654572 |
|---|---|
| Medicare Enrollment ID | O20230318000075 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972215390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Olga Lansky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326019407 PECOS PAC ID: 3173413499 Enrollment ID: I20060216000109 |
| Provider Name | Jaroslav I Goldman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639140403 PECOS PAC ID: 3577669837 Enrollment ID: I20070502000433 |
| Provider Name | Sosimol J Ethakattu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689005316 PECOS PAC ID: 2961625959 Enrollment ID: I20140520001370 |
| Provider Name | Curie H Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619452661 PECOS PAC ID: 5991059180 Enrollment ID: I20181106001469 |
| Provider Name | Bernadeta Agnieszka Kapustka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255898482 PECOS PAC ID: 5799019568 Enrollment ID: I20190627002199 |
| Provider Name | Roselle Chan Yu-isiderio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871241067 PECOS PAC ID: 1557758778 Enrollment ID: I20220418001626 |
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