Taj Gubatanga is a Maywood, Illinois based nurse anesthetist with 4 years of experience as Anesthesia Administration. She completed she graduation in 2021. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Taj Gubatanga is 209024958 for Anesthesia Administration in Illinois. Her current practice location is 2160 S 1st Ave, Maywood. Patients can reach her at 312-774-6297. Taj Gubatanga is CRNA with specialization in Anesthesia Administration and she NPI number (Unique professional ID assigned by NPPES) is 1629747282. Taj Gubatanga is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Taj Gubatanga speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Experience:
4+ years
Medical School Attended:
Other
Graduation Year:
2021
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
2160 S 1st Ave, Maywood, Illinois, 60153-3328
Phone:
312-774-6297
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
0941697171
Enrollment ID:
I20220418002320
NPI Number:
1629747282
NPI Enumeration Date:
08 Sep, 2021
NPI Last Update On:
31 May, 2022
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Taj Gubatanga are as mentioned below.
License Number
Specialization
State
Status
209024958
Anesthesia Administration
Illinois
Primary
28206360A
Registered Nurse
Indiana
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Loyola University Medical Center (140276)
Maywood, IL
Acute Care Hospital
Macneal Hospital (140054)
Berwyn, IL
Acute Care Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Taj Gubatanga has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Loyola University Medical Center (3779488903)
866
Other Medical Identifiers:
Other legacy medical identifiers associated with Taj Gubatanga such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1229
Other
BIRTHDATE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2160 S 1st Ave, Maywood, Illinois
Zip:
60153-3328
Phone Number:
708-216-9000
Fax Number:
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Patients can reach Taj Gubatanga at 2160 S 1st Ave, Maywood, Illinois or can call to book an appointment on 312-774-6297.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.