Organization Active NPI

Grossweiner & Blaszak, P.C.

  • Dermatology Physician
  • Naperville, IL
National Provider Identifier
1194789990
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
GROSSWEINER & BLASZAK, P.C.
Practice address
1220 Hobson Rd Ste 116
Naperville, IL 60540-8137
Phone
(630) 355-6660
Fax
(630) 527-2856
NPI assigned
Apr 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Authorized official

Name
Laura Heimburger
Title
Business Manager
Phone
(630) 355-6660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

1220 Hobson Rd Ste 116
Naperville, IL 60540-8137

Mailing address

1220 Hobson Rd Ste 116
Naperville, IL 60540-8137
Phone (630) 355-6660

Other practice location 1

1220 Hobson Rd Ste 116
Naperville, IL 60540-8137
Phone (630) 355-6660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101216001106 IL Part B Supplier - Clinic/Group Practice 6608064605 Receives reassigned benefits from 2 practitioners
Practice locations: Geneva, IL; Naperville, IL

National Provider Directory

National Provider Directory

Locations

351 Delnor Dr
Ste 404
Geneva, IL 60134
Phone (630) 232-8380

120 Spalding Dr
Ste 405
Naperville, IL 60540
Phone (630) 355-6660

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1194789990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 HOBSON RD STE 116",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605408137",
            "telephone_number": "630-355-6660",
            "fax_number": "630-527-2856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 HOBSON RD STE 116",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605408137",
            "telephone_number": "630-355-6660",
            "fax_number": "630-527-2856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1220 Hobson Rd Ste 116",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605408137",
            "country_code": "US",
            "telephone_number": "630-355-6660",
            "fax_number": "630-527-2856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GROSSWEINER & BLASZAK, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "HEIMBURGER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "630-355-6660"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.