Organization Active NPI

Ursula Gierlachowski MD

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1053500843
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
URSULA GIERLACHOWSKI MD
Practice address
5332 S Archer Ave
Chicago, IL 60632-4949
Phone
(773) 581-6336
NPI assigned
Oct 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Authorized official

Name
Ursula Gierlachowski, MDNPI 1679629976
Title
Owner
Phone
(773) 581-6336

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 IL Primary

Addresses

Primary practice location

5332 S Archer Ave
Chicago, IL 60632-4949

Mailing address

5332 S Archer Ave
Chicago, IL 60632-4949
Phone (773) 581-6336

Other identifiers 2

IdentifierTypeStateIssuer
01605562OtherILBCBS
1679629976OtherINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

5332 S Archer Ave
Chicago, IL 60632
Phone (312) 581-6336

Practitioners & affiliated clinicians

Practitioners 1

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": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1053500843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5332 S ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606324949",
            "telephone_number": "773-581-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5332 S ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606324949",
            "telephone_number": "773-581-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URSULA GIERLACHOWSKI MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "GIERLACHOWSKI",
        "authorized_official_first_name": "URSULA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-581-6336",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01605562",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1679629976",
            "state": null
        }
    ],
    "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 Feb 25, 2008; 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.