Active NPI
Gloria Caruso M.D.P.C
- Gastroenterology Physician
- Bloomingdale, IL
National Provider Identifier
1164557666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- GLORIA CARUSO M.D.P.C
- Practice address
- 473 W Army Trail Rd Ste 105
Bloomingdale, IL 60108-2674 - Phone
- (630) 894-1445
- 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
- Dr. Gloria Jean Caruso, M.D.
- Title
- Owner
- Phone
- (630) 894-1445
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
473 W Army Trail Rd Ste 105
Bloomingdale, IL 60108-2674
Mailing address
473 W Army Trail Rd Ste 105
Bloomingdale, IL 60108-2674
Phone (630) 894-1445
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2201675 | Other | IL | BCBS |
National Provider Directory
National Provider DirectoryLocations
473 W Army Trail Rd
Bloomingdale, IL 60108
Phone (224) 520-8562
473 W Army Trail Rd
Ste 105
Bloomingdale, IL 60108
Phone (630) 242-2455
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": "1191974400000",
"number": "1164557666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "473 W ARMY TRAIL RD STE 105",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601082674",
"telephone_number": "630-894-1445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "473 W ARMY TRAIL RD STE 105",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601082674",
"telephone_number": "630-894-1445"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLORIA CARUSO M.D.P.C",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-23",
"last_updated": "2007-10-10",
"status": "A",
"authorized_official_last_name": "CARUSO",
"authorized_official_first_name": "GLORIA",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "630-894-1445",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "2201675",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bloomingdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.