Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Gbogbo

Individual provider Surgical Assistant · NPI 1952166282

Michael Gbogbo is a Surgical Assistant in Long Grove, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2024

Practice location Address checks out

5273 Wakefield Ln
Long Grove, IL 60047-5221
Phone: (847) 722-3559
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 238.000770 (IL)

Record details

NPI number1952166282
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 15, 2024
Last updated in NPPESFebruary 15, 2024
Certification dateFebruary 15, 2024
Mailing addressPo Box 4832, Buffalo Grove, IL 60089-4832

Other providers in Long Grove