Active NPI
Gizunt SC
- Physical Medicine & Rehabilitation Physician
- Chicago, IL
National Provider Identifier
1104951698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 036111300
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 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 DirectoryLocations
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.
-
- Family Medicine Physician
- Buffalo Grove, IL
- NPI 1649479296
-
- Family Medicine Physician
- Roselle, IL
- NPI 1891751210
-
- Physician Assistant
- Schaumburg, IL
- NPI 1699948299
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.