Active NPI
Giles B. Mizock M.D. LTD.
- Obstetrics & Gynecology Physician
- Chicago, IL
National Provider Identifier
1013215474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 036-035966
- Legal business name
- GILES B. MIZOCK M.D. LTD.
- Practice address
- 5025 W. Paulina
Methodist Hosp
Chicago, IL 60609 - Phone
- (773) 271-9040
- NPI assigned
- Mar 9, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Giles B. Mizock, M.D.
- Title
- President
- Phone
- (847) 509-0547
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 036-035966 | IL | Primary |
Addresses
Primary practice location
5025 W. Paulina
Methodist Hosp
Chicago, IL 60609
Mailing address
2587 Fairford Lane
Northbrook, IL 60062
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1299628800000",
"number": "1013215474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2587 FAIRFORD LANE",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "60062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5025 W. PAULINA",
"address_2": "METHODIST HOSP",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60609",
"telephone_number": "773-271-9040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GILES B. MIZOCK M.D. LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-09",
"last_updated": "2011-03-09",
"status": "A",
"authorized_official_last_name": "MIZOCK",
"authorized_official_first_name": "GILES",
"authorized_official_middle_name": "B.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-509-0547",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "036-035966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.