Provider Demographics
NPI:1821034885
Name:GURAU, IZABELLA (MD)
Entity Type:Individual
Prefix:
First Name:IZABELLA
Middle Name:
Last Name:GURAU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1S376 SUMMIT AVE STE 4C
Mailing Address - Street 2:
Mailing Address - City:OAKBROOK TERRACE
Mailing Address - State:IL
Mailing Address - Zip Code:60181-3966
Mailing Address - Country:US
Mailing Address - Phone:630-424-1122
Mailing Address - Fax:630-324-0067
Practice Address - Street 1:2222 W DIVISION ST STE 210
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60622-3094
Practice Address - Country:US
Practice Address - Phone:773-484-4330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036120004207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT220854OtherALTIUS
UT78625OtherPEHP
UT31-00068OtherUNITED HEALTHCARE
UT868697OtherDMBA
P00152442OtherPALMETTO GBA
UT870281028GU2OtherEMIA
ILP00610372OtherRAILROAD MEDICARE
IL036120004Medicaid
UT107030130101OtherIHC
UT870281028000Medicaid
UT005502585Medicare ID - Type UnspecifiedMEDICARE
UT868697OtherDMBA
ILR00589Medicare PIN
UT870281028GU2OtherEMIA