Provider Type Icon

DR. ALISSA RACHEL GORELICK-WISNIEWSKI D.O. NPI 1417167354


NPI Information

NPI: 1417167354
Provider Name: DR. ALISSA RACHEL GORELICK-WISNIEWSKI, D.O.
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
430 WARRENVILLE RD STE 230
LISLE, IL
ZIP 60532
Phone: (888) 693-6437
Get Directions

DR. Alissa Rachel Gorelick-wisniewski, D.O. is an emergency medicine in Lisle, IL with 17 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DR. Alissa Rachel Gorelick-wisniewski, D.O. NPI is 1417167354. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: TOURO UN COLLEGE OF OSTEOPATHIC MEDICINE, VALLEJO
Graduation Year:2007

The provider's business location address is:

430 WARRENVILLE RD STE 230
LISLE, IL
ZIP 60532-348
Phone: (888) 693-6437
Fax: (630) 432-6227

The NPI 1417167354 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Interpretation and report of electrical activity of heart using 1-3 leads (HCPCS:93042)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Vaccine for influenza for injection into muscle (HCPCS:90662)

The enumeration date for this NPI number is 5/22/2007 and was last updated on 8/8/2023.


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
1207P00000XEmergency Medicine036124228ILLINOISNo
2207P00000XEmergency Medicine5101026421MICHIGANYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.