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Dean Michael Villon Gorospe

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

1355 Remington Rd, Schaumburg, IL 60173-4832

PECOS Enrollment

This provider is enrolled in PECOS as DEAN MICHAEL GOROSPE.

Based on the most recent information from CMS, provider Dean Michael Villon Gorospe is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 10:50 AM.

Profile Details

Provider ID
1265117204
Provider Type
Individual
Full Name
Gorospe, Dean Michael Villon
Gender
Male

Sole Proprietor
No
Enumeration Date
6/19/2023
Last Updated
6/19/2023

Contact Information

Practice Location

1355 Remington Rd, Schaumburg, IL 60173-4832

(847) 262-6906

Unlisted Fax

Mailing Location

507 N Anna Ln, Romeoville, IL 60446-5284

(773) 627-8676

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 209.027646 Illinois

Dean Michael Villon Gorospe

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Severinsen, Kayla

Basaka, Louis

Houk, Amanda J

Rosales, Allison

Varghese, Rachel

Patel, Binaki

Campos, Malina

Taj, Mehrunnissa

Curry, Lisa Catherine

Siby, Lisa K