Healthcare Provider Details
I. General information
NPI: 1598603904
Provider Name (Legal Business Name): HELLO GORGEOUS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
74 W WASHINGTON ST
OSWEGO IL
60543-8267
US
IV. Provider business mailing address
74 W WASHINGTON ST
OSWEGO IL
60543-8267
US
V. Phone/Fax
- Phone: 630-636-6193
- Fax: 630-982-6014
- Phone: 630-636-6193
- Fax: 630-982-6014
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
RYAN
DANIEL
KENT
Title or Position: NURSE PRACTITIONER
Credential: FNP-BC FPA
Phone: 630-636-6193