| Doctor Name: | MRS. GINA M MINGA |
| NPI Number: | 1134460447 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN, ACCNS-BC |
| License Number: | 209-004769 |
| Business Practice Address: | 17800 Kedzie Ave Hazel Crest, IL - 604292029 |
| Business Phone Number: | 7082133288 |
| Business Fax Number: | 7082132999 |
| Mailing Address: | 2700 Hawthorne Ln, FLOSSMOOR |
| State: | IL |
| Postal Code: | 604221514 |
| Phone Number: | 7082133288 |
| Fax Number: | 7082132999 |
| NPI Enumeration Date: | 03/12/2013 |
| NPI Last Update Date: | 03/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SA2200X |
| License Number: | 209-004769 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |