Active NPI
Gerald Charnogursky, MD
- Endocrinology, Diabetes & Metabolism Physician
- Maywood, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 36064506
- Practice address
- 2160 S 1St Ave
(9608 Roberts Road, Hickory Hills, Il. 60457)
Maywood, IL 60153 - Phone
- (708) 233-5333
- Fax
- (708) 233-5348
- NPI assigned
- Jan 17, 2006
- Last updated
- Feb 24, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 36064506 | IL | Primary |
Addresses
Primary practice location
2160 S 1St Ave
(9608 Roberts Road, Hickory Hills, Il. 60457)
Maywood, IL 60153
Mailing address
2160 S 1St Ave
(9608 Roberts Road, Hickory Hills, Il. 60457)
Maywood, IL 60153
Phone (708) 233-5333
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gcharnogursky11671@direct.luhs.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Perelman School of Med at the University of Pennsylvania, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2160 S 1St Ave
Maywood, IL 60153-3328
Phone (708) 216-9000
3249 Oak Park Ave
Berwyn, IL 60402-3429
Phone (708) 783-0700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36064506 | IL | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loyola University Medical Center | Current | Accepting new patients | |
| Loyola University Medical Center | Current | Accepting new patients | |
| Loyola Medical Group LLC | Current | Accepting new patients | |
| Loyola University Medical Center | Current | Accepting new patients | |
| VHS of Illinois Inc | Past | Accepting new patients | |
| Loyola University Physician Foundation | Past | Accepting new patients |
Locations
3231 Euclid Ave
Ste 407
Berwyn, IL 60402
Phone (708) 783-7430
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
6649 W Archer Ave
Chicago, IL 60638
Phone (773) 586-2100
420 W Butterfield Rd
Elmhurst, IL 60126
Phone (630) 832-2300
9608 S Roberts Rd
Hickory Hills, IL 60457
Phone (708) 233-5333
500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119
2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400
2160 S 1st Ave
Bldg 101
Maywood, IL 60153
Phone (708) 216-8785
17901 La Grange Rd
Ste 2000
Tinley Park, IL 60487
Phone (708) 327-8300
Interoperability endpoints
- gcharnogursky11671@direct.luhs.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Berwyn, IL
- NPI 1376041954
-
- General Practice Physician
- Maywood, IL
- NPI 1336159961
-
dba Mulcahy Pharmacy
- Community/Retail Pharmacy
- Maywood, IL
- NPI 1184789299
-
dba Foster G. McGaw Hospital
- General Acute Care Hospital
- Maywood, IL
- NPI 1376521575
-
- General Practice Physician
- Maywood, IL
- NPI 1235148891
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Endeavor Health Edward Hospital
- General Acute Care Hospital
- Naperville, IL
- NPI 1427069632
-
dba MacNeal Hospital
- General Acute Care Hospital
- Berwyn, IL
- NPI 1295710580
-
- General Acute Care Hospital
- Melrose Park, IL
- NPI 1831170232
-
dba Foster G. McGaw Hospital
- General Acute Care Hospital
- Maywood, IL
- NPI 1376521575
-
dba Loyola University Medical Center Cancer Center
- General Acute Care Hospital
- Tinley Park, IL
- NPI 1427752013
-
- Psychiatric Hospital Unit
- Palos Heights, IL
- NPI 1184699118
-
- General Acute Care Hospital
- Palos Heights, IL
- NPI 1851386692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645660800000",
"number": "1023097102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2160 S 1ST AVE",
"address_2": "(9608 ROBERTS ROAD, HICKORY HILLS, IL. 60457)",
"city": "MAYWOOD",
"state": "IL",
"postal_code": "60153",
"telephone_number": "708-233-5333",
"fax_number": "708-233-5348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2160 S 1ST AVE",
"address_2": "(9608 ROBERTS ROAD, HICKORY HILLS, IL. 60457)",
"city": "MAYWOOD",
"state": "IL",
"postal_code": "60153",
"telephone_number": "708-233-5333",
"fax_number": "708-233-5348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARNOGURSKY",
"first_name": "GERALD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-17",
"last_updated": "2022-02-24",
"certification_date": "2022-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "IL",
"license": "36064506",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gcharnogursky11671@direct.luhs.org",
"affiliation": "N",
"endpointDescription": "gcharnogursky11671@direct.luhs.org",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "2160 S 1st Ave",
"address_2": "(9608 Roberts Road, Hickory Hills, IL. 60457)",
"city": "Maywood",
"state": "IL",
"country_code": "US",
"postal_code": "60153",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Maywood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.