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NPI Code Detail

MEDICARE: VINCENT ADAM GEBALA APRN

MEDICARE: VINCENT ADAM GEBALA APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner209032208IL

General Provider Information

NPI Number : 1144110289
Entity Type Code : Individual
Provider Name (Legal Business Name) : VINCENT ADAM GEBALA APRN
Provider Business Mailing Address
First Line : 29373 NETWORK PL
Second Line :
City : CHICAGO
State : IL
Zip : 60673-1293
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 40 75TH ST
Second Line :
City : WILLOWBROOK
State : IL
Zip : 60527-2325
Country : US
Telephone Number : 630-581-5372
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2025
Last Update Date : 03/12/2026

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Directions to “ VINCENT ADAM GEBALA APRN” Practice Location

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