GEMINI HEALTHCARE LLC
NPI 1366294811
General Practice in Park Ridge, IL

NPI Status: Active since April 05, 2024

Contact Information

1420 RENAISSANCE DR STE 207B
PARK RIDGE, IL
ZIP 60068
Phone: (243) 415-3312

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  • Organization
  • General Practice

About GEMINI HEALTHCARE LLC

This page provides the complete NPI Profile along with additional information for Gemini Healthcare Llc, a primary care provider established in Park Ridge, Illinois operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1366294811 assigned on April 2024. The practitioner's primary taxonomy code is 208D00000X. The provider is registered as an organization and their NPI record was last updated July 2025. Gemini Healthcare Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Gregorio R. Mabulay (Director)

NPI
1366294811
Provider Name
GEMINI HEALTHCARE LLC
Entity Type
Organization
Location Address
1420 RENAISSANCE DR STE 207B PARK RIDGE, IL 60068
Location Phone
(243) 415-3312
Mailing Address
1420 RENAISSANCE DR STE 207B PARK RIDGE, IL 60068
Mailing Phone
(224) 341-5331
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-05-2024
Last Update Date
07-17-2025
Code Navigator

A primary care provider (PCP) like Gemini Healthcare Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
2207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GREGORIO R. MABULAY

Authorized Official Title
DIRECTOR
Authorized Official Phone
(224) 341-5331

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1366294811
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2312649882
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 4 + 9 + 8 + 8 + 2 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1366294811 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366294811, enumerated in the NPI registry as an "organization" on April 05, 2024

The provider is located at 1420 Renaissance Dr Ste 207b Park Ridge, Il 60068 and the phone number is (243) 415-3312

This medical organization specializes in General Practice with taxonomy code 208D00000X

This NPI record was last updated on April 05, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.