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GIAN CARLOS VILLAGOMEZ
NPI 1093517179
Student in an Organized Health Care Education/Training Program in Grayslake, IL

Active since March 27, 2025PECOS Enrolled
1475 E BELVIDERE RD UNIT 385, GRAYSLAKE, IL 60030(847) 535-7157(312) 694-0655 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gian Carlos Villagomez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GIAN CARLOS VILLAGOMEZ (NPI 1093517179) is an individual student in an organized health care education/training program in Grayslake, Illinois and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093517179
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGIAN CARLOS VILLAGOMEZ
Location Address1475 E BELVIDERE RD UNIT 385Grayslake, IL 60030-2026
Mailing Address1475 E Belvidere Rd Unit 385Grayslake, IL 60030-2026 · (847) 535-7157 · Fax (312) 694-0655
Phone(847) 535-7157
Fax(312) 694-0655
Sole ProprietorNo
Enumeration DateMarch 27, 2025
NPPES CertifiedMarch 27, 2025
✔ NPI 1093517179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1475 E BELVIDERE RD UNIT 385, Grayslake, IL 60030
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gian Carlos Villagomez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD R. CLARK M.D.
Family Medicine
1475 E BELVIDERE RD UNIT 385
GRAYSLAKE, IL 60030
Lake County (847) 535-8000
OSCAR CASTRO MD
Family Medicine
1475 E BELVIDERE RD UNIT 385
GRAYSLAKE, IL 60030
Lake County (847) 535-7157
GRACIA GILREATH
Student in an Organized Health Care Education/Training Program
1475 E BELVIDERE RD UNIT 385
GRAYSLAKE, IL 60030
Lake County (847) 535-7157
ALAIN PIERRE-LOUIS MD, MA
Family Medicine
1475 E BELVIDERE RD UNIT 385
GRAYSLAKE, IL 60030
Lake County (847) 535-7157
RACHEL JEAN BERNARDO DO
Family Medicine
1475 E BELVIDERE RD UNIT 385
GRAYSLAKE, IL 60030
Lake County (847) 535-7157
BRIAN SALCEDO DO
Student in an Organized Health Care Education/Training Program
1475 E BELVIDERE RD UNIT 385
GRAYSLAKE, IL 60030
Lake County (847) 535-7157
ALLISON STICKNEY
Student in an Organized Health Care Education/Training Program
1475 E BELVIDERE RD UNIT 385
GRAYSLAKE, IL 60030
Lake County (847) 535-7157
ZAYNAH AHMED
Student in an Organized Health Care Education/Training Program
1475 E BELVIDERE RD UNIT 385
GRAYSLAKE, IL 60030
Lake County (847) 535-7157

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gian Villagomez's NPI number?

The NPI number for Gian Villagomez is 1093517179. It was assigned to this individual provider in the NPPES registry on March 27, 2025.

Where is Gian Villagomez located?

Gian Villagomez practices at 1475 E Belvidere Rd Unit 385, Grayslake, IL 60030. The listed phone number is (847) 535-7157.

What is Gian Villagomez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Gian Villagomez enrolled in Medicare?

Yes. Gian Villagomez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gian Villagomez was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.