Organization Active NPI

Zavala Internists, S.C.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1013942283
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ZAVALA INTERNISTS, S.C.
Practice address
1725 W Harrison St
Suite 318
Chicago, IL 60612-3841
Phone
(312) 942-6647
Fax
(312) 942-3740
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gilberto Zavala, MDNPI 1699700872
Title
President Owner
Phone
(312) 942-3747

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1725 W Harrison St
Suite 318
Chicago, IL 60612-3841

Mailing address

1725 W Harrison St Ste 318
Chicago, IL 60612-3817
Phone (312) 942-6647

Other identifiers 1

IdentifierTypeStateIssuer
C30464OtherRAILROAD MEDICARE

Other names 1

  • Palmer & Zavala, S.C. Former legal business name

National Provider Directory

National Provider Directory

Locations

9669 Kenton Ave
Ste 102
Skokie, IL 60076
Phone (847) 675-2040

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588896000000",
    "number": "1013942283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST STE 318",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123817",
            "telephone_number": "312-942-6647",
            "fax_number": "312-942-3740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST",
            "address_2": "SUITE 318",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123841",
            "telephone_number": "312-942-6647",
            "fax_number": "312-942-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZAVALA INTERNISTS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A",
        "authorized_official_last_name": "ZAVALA",
        "authorized_official_first_name": "GILBERTO",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "312-942-3747",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "C30464",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palmer & Zavala, S.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Palmer & Zavala, S.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 May 8, 2020; 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.