Active NPI
Center for Internal Medicine Inc.
- Primary Care Clinic/Center
- Oak Lawn, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- CENTER FOR INTERNAL MEDICINE INC.
- Practice address
- 4609 W 103Rd St
Oak Lawn, IL 60453-4718 - Phone
- (708) 425-0070
- Fax
- (708) 425-0304
- NPI assigned
- Jan 15, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mariusz Wojciech Gadula, M.D.
- Title
- President
- Phone
- (708) 425-0070
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
4609 W 103Rd St
Oak Lawn, IL 60453-4718
Mailing address
4609 W 103Rd St
Oak Lawn, IL 60453-4718
Phone (708) 425-0070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D1094715 | Center for Internal Medicine | Certificate of waiver | Jan 25, 2027 |
National Provider Directory
National Provider DirectoryLocations
9401 S Kostner Ave
Oak Lawn, IL 60453
Phone (708) 423-6731
4609 W 103rd St
Oak Lawn, IL 60453
Phone (708) 425-0070
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EFCCCA
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Oak Lawn, IL
- NPI 1548292832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741737600000",
"number": "1093952756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4609 W 103RD ST",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604534718",
"telephone_number": "708-425-0070",
"fax_number": "708-425-0304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4609 W 103RD ST",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604534718",
"telephone_number": "708-425-0070",
"fax_number": "708-425-0304"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR INTERNAL MEDICINE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-15",
"last_updated": "2025-03-12",
"certification_date": "2025-03-12",
"status": "A",
"authorized_official_last_name": "GADULA",
"authorized_official_first_name": "MARIUSZ",
"authorized_official_middle_name": "WOJCIECH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "708-425-0070",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Lawn, IL
- Kathleen Byrne Cavato, APN
- Edith Cave, MSN, APRN, FNP-BC
- Stephanie Cazares
- Marc A. Cecchini, P.T.
- Nina Maria Censoplano, D.O.
- Center for Outpatient Alcoholism Treatment (D/BA Project C.O.A.T.)
- Center for Pediatric Gastroenterology & Nutrition MDSC
- Center for Psychological Services - Oak Lawn LTD
- Center for Psychological Services,LTD
- Center for Psychological Wellness P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.