Janis a Gumpel MD SC

Primary specialty

SpecialistTaxonomy code 174400000X

License

036038295 Issued in IL

Legal business name

JANIS A GUMPEL MD SC

Practice address

12255 S 80TH Ave
Suite 201
Palos Heights, IL 60463-1270

Phone

(708) 923-7600

Fax

(708) 923-7605

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Janis A Gumpel, MD SC

Title

Owner

Phone

(708) 923-7600

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235088000000",
    "number": "1154485241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12255 S 80TH AVE",
            "address_2": "SUITE 201",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631270",
            "telephone_number": "708-923-7600",
            "fax_number": "708-923-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12255 S 80TH AVE",
            "address_2": "SUITE 201",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631270",
            "telephone_number": "708-923-7600",
            "fax_number": "708-923-7605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANIS A GUMPEL MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2009-02-20",
        "status": "A",
        "authorized_official_last_name": "GUMPEL",
        "authorized_official_first_name": "JANIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-923-7600",
        "authorized_official_credential": "MD SC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036038295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James E. McCormick, D.M.D., M.S., LTD.
• James R Schulte DDS
• Lee Merle Jameson, D.D.S.
• Gwendolyn A. Janecek, APRN, CRNA
• Hyeju Jang, ANP-BC
• Anna Jasiewicz, PSY.D.
• Nancy Javior, OTR
• Jeanette K. Fefles LTD.
• Bethany Mary Jengic, MD
• Christina A Jensen

• Specialist in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; 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.