GABRIELA FUDALEJ
NPI 1336736024
Nurse Practitioner in Willowbrook, IL

Q: What is Gabriela Fudalej's NPI number?

The NPI number for Gabriela Fudalej is 1336736024. It was assigned to this individual provider in the NPPES registry on December 29, 2020.

Q: What is Gabriela Fudalej's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Gabriela Fudalej was last updated on September 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since December 29, 2020PECOS EnrolledAccepts Medicare Assignment

40 75TH ST, WILLOWBROOK, IL 60527(630) 581-5372 Get Directions Write a Review

NPPES record last updated: September 22, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 22, 2021, Dec 29, 2020 (2 updates tracked since 2020).

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About Gabriela Fudalej NPPES

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

GABRIELA FUDALEJ (NPI 1336736024) is an individual nurse practitioner in Willowbrook, Illinois, licensed in Illinois (209021879) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1336736024

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameGABRIELA FUDALEJ

Location Address40 75TH STWillowbrook, IL 60527-2325

Mailing Address40 75th StWillowbrook, IL 60527-2325 · (630) 581-5372

Phone(630) 581-5372

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateDecember 29, 2020

Last NPPES UpdateSeptember 22, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2021

✔ NPI 1336736024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209021879

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

40 75TH ST, Willowbrook, IL 60527

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Secondary Practice Location 1

Location 13348 W 87th StChicago, IL 60652-3767 · Phone (773) 776-4471 · Fax (773) 564-3510

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gabriela Fudalej is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567877608

PECOS Enrollment IDI20210223001006

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.

Medicare Billing Reassignment

Medicare enrollment records show Gabriela Fudalej reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Midwest Express Care 2, Inc

0.1 mi

Urgent Care

40 75TH ST
Willowbrook, IL 60527

Reassigned Medicare billing, Illinois enrollment
410 clinicians in this Medicare group

NPI 1548692890 (630) 400-4060

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60527 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

YESENIA SANCHEZ

Nurse Practitioner (Family)