Gordon J. Kinzler, M.D.,S.C.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

036071519 Issued in IL

Legal business name

GORDON J. KINZLER, M.D.,S.C.

Practice address

1200 S York Rd Ste 4290
Elmhurst, IL 60126-5632

Phone

(630) 758-8600

Fax

(630) 758-8603

NPI assigned

Feb 6, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Gordon Kinzler, M.D.NPI 1386663425

Title

President

Phone

(630) 758-8600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Gordon James Kinzler, M.D.

  • Urology Physician
  • Elmhurst, IL
  • NPI 1386663425
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1043498678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S YORK RD STE 4290",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265632",
            "telephone_number": "630-758-8600",
            "fax_number": "630-758-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S YORK RD STE 4290",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265632",
            "telephone_number": "630-758-8600",
            "fax_number": "630-758-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON J. KINZLER, M.D.,S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "KINZLER",
        "authorized_official_first_name": "GORDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-758-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "IL",
            "license": "036071519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlyn F Goldberg, M.D.
• Behrad Golshani
• Vildana Golubovic, PHARMD
• Vanessa Gomez
• Daniel Joseph Goodman, PH.D.
• Lauren M Gorski, PT
• Philip W. Gotsch, D.D.S.
• Elizabeth Irene Gozdziak, PHARM.D.
• Grace Integrated Behavioral Health Center PLLC
• Therese Marren Gracey, MD

• Urology Physician in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• Urology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.