Organization Active NPI

Gerta Janss, MD, S.C.

  • Dermatology Physician
  • Wilmette, IL
National Provider Identifier
1073700688
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036080132 Issued in IL
Legal business name
GERTA JANSS, MD, S.C.
Practice address
711 11TH St
Wilmette, IL 60091-2662
Phone
(847) 920-0225
NPI assigned
Sep 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Authorized official

Name
Dr. Gerta Janss, MDNPI 1710953815
Title
President
Phone
(847) 920-0225

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
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 036080132 IL Primary

Addresses

Primary practice location

711 11TH St
Wilmette, IL 60091-2662

Mailing address

711 11TH St
Wilmette, IL 60091-2662

Other identifiers 1

IdentifierTypeStateIssuer
21604995OtherILBLUE SHIELD OF ILLNOIS

National Provider Directory

National Provider Directory

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": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1073700688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 11TH ST",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 11TH ST",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912662",
            "telephone_number": "847-920-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERTA JANSS, MD, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "JANSS",
        "authorized_official_first_name": "GERTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-920-0225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036080132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF ILLNOIS",
            "identifier": "21604995",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmette, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.