LAURA LUC-GORBY A.P.N. NPI 1215122734

NPI Information

NPI: 1215122734
Provider Name: LAURA LUC-GORBY, A.P.N.
Classification: Clinical Nurse Specialist - 364SG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
5000 S 5TH AVE
GERIATRICS AND EXTENDED CARE BLDG 217
HINES, IL
ZIP 60141
Phone: (708) 202-2408
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Laura Luc-gorby, A.P.N. is a gerontology clinical nurse specialist in Hines, IL. Laura Luc-gorby, A.P.N. NPI is 1215122734. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5000 S 5TH AVE
GERIATRICS AND EXTENDED CARE BLDG 217
HINES, IL
ZIP 60141-030
Phone: (708) 202-2408

The NPI 1215122734 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/7/2007 and was last updated on 8/14/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SG0600X	Clinical Nurse Specialist	Gerontology	209000559	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	041253113	OTHER	ILLINOIS	STATE LICENSE
2	209000559	OTHER	ILLINOIS	STATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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