Active NPI
Karol A. Gutowski, MD
- Plastic Surgery Physician
- Glenview, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 036.121999
- Practice address
- 2300 Chestnut Ave # 100
Glenview, IL 60026-1602 - Phone
- (773) 870-0732
- Fax
- (847) 780-1188
- NPI assigned
- Mar 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 036.121999 | IL | Primary |
Addresses
Primary practice location
2300 Chestnut Ave # 100
Glenview, IL 60026-1602
Mailing address
1526 Kittyhawk LN
Glenview, IL 60026-7755
Phone (773) 870-0732
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0094902 | Medicaid | OH | |
| 32142500 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.121999 | IL | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Mount Sinai Community Foundation | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Mount Sinai Community Foundation | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Plastic Surgery | Current | Accepting new patients |
| Sinai Community Foundation | Current | Accepting new patients |
Locations
1801 W Taylor St
#3F
Chicago, IL 60612
Phone (312) 355-4300
1855 W Taylor St
Chicago, IL 60612
Phone (312) 996-6582
26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900
7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Sinai Medical Group
- Rehabilitation Hospital
- Chicago, IL
- NPI 1376715896
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
-
dba Sinai Medical Group
- General Acute Care Hospital
- Chicago, IL
- NPI 1982657854
-
dba SMG Schwab Pediatric Clinic
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1982995536
-
dba Occupational Health Service Institute (OHSI)
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
- Surgery Physician
- Chicago, IL
- NPI 1265651392
Plastic Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714003200000",
"number": "1134198799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1526 KITTYHAWK LN",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600267755",
"telephone_number": "773-870-0732",
"fax_number": "847-780-1188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 CHESTNUT AVE # 100",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600261602",
"telephone_number": "773-870-0732",
"fax_number": "847-780-1188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTOWSKI",
"first_name": "KAROL",
"middle_name": "A.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-16",
"last_updated": "2024-04-25",
"certification_date": "2024-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "IL",
"license": "036.121999",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0094902",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32142500",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glenview, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.