Organization Active NPI

Giles B. Mizock M.D. LTD.

  • Obstetrics & Gynecology Physician
  • Chicago, IL
National Provider Identifier
1013215474
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036-035966 Issued in IL
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

Updated by the provider on Mar 9, 2011

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.