Gormley, Nanette
Gormley, Nanette is an sole proprietor health care provider with primary practice located at 17800 Kedzie Ave , Hazel Crest IL 60429-2029. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Gormley, Nanette can be contacted via phone (708) 799-8000.Contact Information
Primary practice address
17800 Kedzie Ave
Hazel Crest IL 60429-2029
Phone: (708) 799-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036072012 | Illinois |
Profile Details
| NPI number | 1730186842 |
|---|---|
| LBN Legal business name | Gormley, Nanette |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2005 |
| Last updated | Dec 22nd, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730186842 | NPPES |
| Illinois | MEDICAID | 036072012 |
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