Organization Active NPI

Gizunt SC

  • Physical Medicine & Rehabilitation Physician
  • Chicago, IL
National Provider Identifier
1104951698
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
036111300 Issued in IL
Legal business name
GIZUNT SC
Practice address
5929 N Cicero Ave
Chicago, IL 60646-5701
Phone
(773) 529-4913
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

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

Authorized official

Name
Peter Smith
Title
Credentialing Agent
Phone
(815) 965-8505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 036111300 IL Primary

Addresses

Primary practice location

5929 N Cicero Ave
Chicago, IL 60646-5701

Mailing address

293 Woodstone Cir
Buffalo Grove, IL 60089-6702
Phone (847) 459-8563

National Provider Directory

National Provider Directory

Locations

303 Andrews Dr
Ste 305
Belvidere, IL 61008
Phone (815) 547-0007

333 Waukegan Rd
Glenview, IL 60025
Phone (847) 347-7236

4525 Forest View Ave
Rockford, IL 61108

Practitioners & affiliated clinicians

Practitioners 3

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": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407369600000",
    "number": "1104951698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 WOODSTONE CIR",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600896702",
            "telephone_number": "847-459-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5929 N CICERO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465701",
            "telephone_number": "773-529-4913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIZUNT SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2014-08-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CREDENTIALING AGENT",
        "authorized_official_telephone_number": "815-965-8505"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036111300",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 7, 2014; 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.