DR. JOHN J GNAP MD NPI 1164572319

NPI Information

NPI: 1164572319
Provider Name: DR. JOHN J GNAP, MD
Classification: Family Medicine - 207QA0401X
Entity Type: Individual

Specialization: Addiction Medicine

PECOS Registration: Yes

Address:
10436 SOUTHWEST HIGHWAY
LOWER LEVEL SUITE 4
CHICAGO RIDGE, IL
ZIP 60415
Phone: (708) 424-2266
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DR. John J Gnap, MD is an addiction medicine family medicine in Chicago Ridge, IL. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. DR. John J Gnap, MD NPI is 1164572319. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10436 SOUTHWEST HIGHWAY
LOWER LEVEL SUITE 4
CHICAGO RIDGE, IL
ZIP 60415
Phone: (708) 424-2266
Fax: (708) 424-9763

The NPI 1164572319 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 1/11/2007 and was last updated on 3/30/2010.

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	101YM0800X	Counselor	Mental Health	036040753	ILLINOIS	No
2	207QA0401X	Family Medicine	Addiction Medicine	036040753	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	243380	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS
2	C38226	MEDICARE UPIN
3	02201177	OTHER	ILLINOIS	BCBS

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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