| Dr Gina Nicole Guglielmi, DO | |
|
1302 Franklin Ave Ste 2800, Normal, IL 61761-6526 | |
| (309) 268-6300 | |
| Not Available |
| Full Name | Dr Gina Nicole Guglielmi |
|---|---|
| Gender | Female |
| Speciality | Neurological Surgery |
| Location | 1302 Franklin Ave Ste 2800, Normal, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285164699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 125.071056 (Illinois) | Secondary |
| 207T00000X | Neurological Surgery | 036153477 (Illinois) | Primary |
| Entity Name | Carle Health Care Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
| Entity Name | Carle Eureka Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1184644023 PECOS PAC ID: 3870914393 Enrollment ID: O20200609000028 |
| Entity Name | Carle West Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gina Nicole Guglielmi, DO 611 W Park St, Fapc, Urbana, IL 61801-2500 Ph: () - | Dr Gina Nicole Guglielmi, DO 1302 Franklin Ave Ste 2800, Normal, IL 61761-6526 Ph: (309) 268-6300 |
Paul Jene Gustin, DO Neurological Surgery Medicare: Medicare Enrolled Practice Location: 1300 Franklin Ave, Normal, IL 61761 Phone: 309-268-3502 | |
Aaron Gustin, DO Neurological Surgery Medicare: Medicare Enrolled Practice Location: 1300 Franklin Ave Ste 110, Normal, IL 61761 Phone: 309-268-3502 | |
Dr. Joshua Sterling Bentley, D.O. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1304 Franklin Ave, Normal, IL 61761 Phone: 309-268-3713 | |
Dr. Ryan Michael Johnson, D.O. Neurological Surgery Medicare: Medicare Enrolled Practice Location: 1300 Franklin Ave Ste 110, Normal, IL 61761 Phone: 309-268-3502 |