Individual provider Active NPI

Akala Victory Gambol, LE

  • Specialist
  • Chicago, IL
National Provider Identifier
1184520017
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
220.010477 Issued in IL
Practice address
30 N Michigan Ave Ste 1122
Chicago, IL 60602-3740
Phone
(312) 656-8152
NPI assigned
Oct 16, 2026
Last updated
Oct 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 220.010477 IL Primary

Addresses

Primary practice location

30 N Michigan Ave Ste 1122
Chicago, IL 60602-3740

Mailing address

30 N Michigan Ave Ste 1122
Chicago, IL 60602-3740
Phone (312) 656-8152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1792108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1184520017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE STE 1122",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023740",
            "telephone_number": "312-656-8152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE STE 1122",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023740",
            "telephone_number": "312-656-8152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBOL",
        "first_name": "AKALA",
        "middle_name": "VICTORY",
        "credential": "LE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-10-16",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "220.010477",
            "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 Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.