Active NPI
Alexis Gasiorowski, APRN
- Pediatrics Physician
- Chicago, IL
National Provider Identifier
1164068730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 209.020445
- Practice address
- 737 N Michigan Ave Ste 870
Chicago, IL 60611-2615 - Phone
- (312) 030-0353
- NPI assigned
- Nov 19, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 209.020445 | IL | Primary |
Addresses
Primary practice location
737 N Michigan Ave Ste 870
Chicago, IL 60611-2615
Mailing address
2828 N Talman Ave Unit a
Chicago, IL 60618-7829
Phone (815) 353-4726
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.020445 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel Weissbluth, M.D, S.C | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574121600000",
"number": "1164068730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2828 N TALMAN AVE UNIT A",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606187829",
"telephone_number": "815-353-4726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "737 N MICHIGAN AVE STE 870",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112615",
"telephone_number": "312-030-0353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GASIOROWSKI",
"first_name": "ALEXIS",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-19",
"last_updated": "2019-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "IL",
"license": "209.020445",
"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 Nov 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.