GABISA MEDICAL CHICAGO PLLC (NPI# 1952991838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952991838 |
| Entity Type | Organization |
| Organization Name | GABISA MEDICAL CHICAGO PLLC |
| Practice Address | 1449 W Irving Park Rd Chicago IL 60613-1922 |
| Practice Telephone | 7186978378 |
| Practice Fax Number | 8889292371 |
| Mailing Address | 3436 Clinton Ave Berwyn IL 60402-3322 |
| Mailing Telephone | 3475241914 |
| Mailing Fax Number | 8889292371 |
| Certification Date | 2021-01-24 |
| Enumeration Date | 2021-01-24 |
| Last Update Date | 2021-01-24 |
| Authorized Official Telephone | 3475241914 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 261QC1500X | Clinic/Center Specialization: Community Health | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Gabisa Medical PLLC | Doing Business As Name |
| Endpoint Type | Endpoint | Affiliation | Affiliation Address | Use | Content |
|---|---|---|---|---|---|
| Other URL | Chicago (Data serving with DOH) | 1449 W Irving Park Rd, Chicago, IL 606131922 | Direct | CSV |
| Street Address | 1449 W IRVING PARK RD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60613-1922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730552894 | Mikki Guerra | Social Worker · Clinical | 1479 W Irving Park Rd # 1a, Chicago, IL 60613-1922 | 2015-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261978 | Thorek Radiology Group Nfp | Radiology · Vascular & Interventional Radiology | 850 West Irving Park Road, Chicago, IL 60613 | 2020-10-08 |
| 1760034128 | Maryellen Karas Lajeunesse | Social Worker · Clinical | 3930 N. Pine Grove Ave, #2403, Chicago, IL 60613 | 2019-07-15 |
| 1801366430 | Stephanie A Dykema | Psychologist | 4043 N Ravenswood Ave Suite 302, Chicago, IL 60613 | 2018-11-27 |
| 1487154191 | Alan Tsang | Counselor | 655 W Irving Park Rd Ste 203, Chicago, IL 60613 | 2018-02-19 |
| 1972015782 | Integrated Ortho, LLC. | Durable Medical Equipment & Medical Supplies | 3717 N. Ravenswood Ave, Suite 219w, Chicago, IL 60613 | 2017-11-02 |
| 1073048005 | Claire Jolly | Social Worker · Clinical | 3701 N Ravenswood Ave Ste 301, Chicago, IL 60613 | 2017-04-27 |
| 1730626011 | Marc Fagan | Psychologist | 4101 N Ravenswood Ave., Chicago, IL 60613 | 2017-01-25 |
| 1205385671 | Sara Turner | Psychologist · Clinical | 3855 N Greenview Ave # 2a, Chicago, IL 60613 | 2016-09-27 |
| 1962955997 | Michelle Montero | Psychologist · Clinical | 925 W Dakin St Apt 405, Chicago, IL 60613 | 2016-07-26 |
| 1063883494 | Athletico, Ltd · Athletico Physical Therapy | Physical Therapist | 3922 North Sheridan Rd, Chicago, IL 60613 | 2015-10-12 |
| Find all providers in zip 60613 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
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| 1609499573 | Nurse Now LLC · Nurse Now Immediate Care Clinic | 2901 S Michigan Ave Apt 406, Chicago, IL 60616-3297 | 2020-05-26 | |
| 1316356850 | The Night Ministry | 4711 N Ravenswood Ave, Chicago, IL 60640-4407 | 2014-08-08 | |
| 1104134915 | Mamanatandathernizampc. | 2001 W.69thst., Chicago, IL 60636 | 2010-09-15 | |
| 1962664268 | Jil Medical Consultant | 5500 S Damen Ave, Chicago, IL 60636-1107 | 2008-06-27 | |
| 1447418017 | Health Department · St Bernard Hospital | 5400 S Hyde Park Blvd Apt D2, Chicago, IL 60615-5852 | 2008-05-29 | |
| 1295947430 | Communityhealth | 2611 W Chicago Ave, Chicago, IL 60622-4519 | 2007-05-03 | |
| 1649399106 | Circle Family Healthcare Network, Inc | 115 Parkside, Chicago, IL 60644-3040 | 2007-03-28 | |
| 1194819623 | City of Chicago · Chicago Department of Public Health | South Lawndale Nhc, 3059 W 26th Street, Chicago, IL 66023 | 2006-10-02 | |
| 1194817809 | New Hope Community Service | 2011 E 75th St Ste 110, Chicago, IL 60649-3646 | 2006-09-29 | |
| 1477545614 | City of Chicago · Chicago Department of Public Health | Uptown Neighborhood Health Center, 845 W Wilson, Chicago, IL 60640 | 2005-08-15 | |
| Find all providers in CHICAGO | ||||
| City | CHICAGO |
| Zip Code | 60613 |
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| 1598380859 | Gabisa Medical Pllc | Internal Medicine | Jfk Terminal 4, Terminal 4 Arrivals West, Jamaica, NY 11430 | 2020-06-12 |
| 1710580550 | Gabisa Medical Ma Pllc | Clinic/Center | Boston Logan International Airport, Terminal E (at Door E107), Boston, MA 02128 | 2020-11-16 |
| 1124632740 | Gabisa Medical Nj LLC | Internal Medicine | Newark Liberty International Airport, Terminal B - #btmp23 3 Brewster Road, Newark, NJ 07114 | 2020-09-01 |
| 1336748367 | Wh Il Medical Pllc · Walmart Health | Psychologist | 1715 N. Kilpatrick Ave., Chicago, IL 60639 | 2020-10-21 |
| 1174132906 | Village Medical At Home North Florida Pllc | Internal Medicine | 125 S Clark St Ste 900, Chicago, IL 60603-4043 | 2020-07-28 |
| 1033728878 | Village Medical At Home Central Florida Pllc | Internal Medicine | 125 S Clark St Ste 900, Chicago, IL 60603-4043 | 2020-07-28 |
| 1528677374 | Village Medical At Home West Central Florida Pllc | Internal Medicine | 125 S Clark St Ste 900, Chicago, IL 60603-4043 | 2020-07-28 |
| 1134781974 | Lifestyle Rejuvenation Medical Group Pllc | Chiropractor | 1740 E 55th Street, Chicago, IL 60615 | 2019-07-02 |
| 1528079266 | Sweetwater Medical Associates, Pllc · Methodist Medical Group, Pllc | Internal Medicine | 16651 Southwest Fwy, Ste 100, Sugar Land, TX 77479-2345 | 2006-08-10 |
| 1245415991 | Lyons Medical Care, Pllc · Medical House Calls, Pllc | Internal Medicine | 125 Park Dr, Bronx, NY 10464-1005 | 2007-12-31 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.