Healthcare Provider Details

I. General information

NPI: 1467459099
Provider Name (Legal Business Name): DANA R GOSSETT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANA CAROLINE RIGSBY MD

II. Dates (important events)

Enumeration Date: 06/28/2005
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

259 E ERIE ST STE 2450
CHICAGO IL
60611-3926
US

IV. Provider business mailing address

680 N LAKE SHORE DR STE 1000
CHICAGO IL
60611-8709
US

V. Phone/Fax

Practice location:
  • Phone: 312-694-9676
  • Fax: 312-472-6580
Mailing address:
  • Phone: 312-695-7382
  • Fax: 312-695-0014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number036116323
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: