A. GWENDOLYN NOBLE (M.D., PH.D.) – Ophthalmology Physician, NPI 1790763670

A. GWENDOLYN NOBLE (M.D., PH.D.) is a healthcare provider. based in Elmwood park, Illinois. specializing in Ophthalmology Physician. They hold the professional credentials M.D., PH.D.. They hold a License No. 036-080087 (IL). The NPI Number for A. GWENDOLYN NOBLE (M.D., PH.D.) is 1790763670

Main info

Female
Sole Proprietor
39 Years Of Experience
Accepts Medicare Assignment
Name
A. GWENDOLYN NOBLE (M.D., PH.D.)
NPI
1790763670
Phone
(708) 452-4257
Address
7638 W NORTH AVE
Enumeration Date
2 January 2006
Last Update Date
15 February 2012

Doctor Profile

Medical School Name
R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Secondary Phone
7084524257
Graduation Year
1987 (39 years ago)
PAC ID
7416010830
Professional Enrollment ID
I20090112000508
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for A. GWENDOLYN NOBLE (M.D., PH.D.)

  • North Avenue, Elmwood, Geneva, Ashtabula County, Ohio, 44041, United States

    ELMWOOD PARK, IL 607074157

    Phone: (708) 452-4257

    Fax: (708) 452-4283

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $232.

Total Amount is formed as General ($232) + Research ($0) + Ownership ($0) = $232.

Last reported payment date: 2023-11-29 • Largest payer in this snapshot: Horizon Therapeutics plc ($117).

Total Amount

$232

General + Research + Ownership

Payments

2

Total payment records

General Amount

$232

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-29

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-01-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090112000508IOphthalmologyILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60707)

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Reviews

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Frequently asked questions

What is the standard ID for A. GWENDOLYN NOBLE (M.D., PH.D.) in the U.S.?
In the U.S., A. GWENDOLYN NOBLE (M.D., PH.D.) is identified by NPI 1790763670.
Does the public listing show A. GWENDOLYN NOBLE (M.D., PH.D.) as active?
A. GWENDOLYN NOBLE (M.D., PH.D.)'s NPI record reflects an active status in NPPES.
What type of care does A. GWENDOLYN NOBLE (M.D., PH.D.) provide?
A. GWENDOLYN NOBLE (M.D., PH.D.)'s profile centers on Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit A. GWENDOLYN NOBLE (M.D., PH.D.) in Elmwood Park, Illinois?
For routing, start with Elmwood Park, Illinois for A. GWENDOLYN NOBLE (M.D., PH.D.), then verify phone and hours locally.
Can I export A. GWENDOLYN NOBLE (M.D., PH.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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