MEDICARE: GABRIELLE GARZONY NP

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
1	363L00000X	Nurse Practitioner	APRN.CNP.0026839	OH
2	363LF0000X	Family Nurse Practitioner	209.023914	IL
3	363L00000X	Nurse Practitioner	209.023914	IL
4	363LF0000X	Family Nurse Practitioner	APRN.CNP.0026839	OH

General Provider Information

NPI Number	:	1952926495
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIELLE GARZONY NP

Provider Business Mailing Address
First Line	:	PO BOX 746721
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-6721
Country	:	US
Telephone Number	:	312-733-9730
Fax Number	:

Provider Business Practice Location Address
First Line	:	1090 S BARRINGTON RD
Second Line	:
City	:	STREAMWOOD
State	:	IL
Zip	:	60107
Country	:	US
Telephone Number	:	630-477-7201
Fax Number	:	630-429-9874

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2020
Last Update Date	:	04/15/2026

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