Organization Active NPI

Louisa K Gehlmann MD SC

  • Dermatology Physician
  • Oak Brook, IL
National Provider Identifier
1215924212
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
LOUISA K GEHLMANN MD SC
Practice address
120 Oak Brook Center Mall
Ste 410
Oak Brook, IL 60523-1806
Phone
(630) 574-5860
Fax
(630) 574-5866
NPI assigned
Oct 4, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Louisa K Gehlmann, MD
Title
Owner
Phone
(630) 574-5860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X IL Primary

Addresses

Primary practice location

120 Oak Brook Center Mall
Ste 410
Oak Brook, IL 60523-1806

Mailing address

120 Oak Brook Center Mall
Ste 410
Oak Brook, IL 60523-1806
Phone (630) 574-5860

Other identifiers 1

IdentifierTypeStateIssuer
0360505141MedicaidIL

National Provider Directory

National Provider Directory

Locations

120 Oakbrook Ctr
Ste 410
Oak Brook, IL 60523
Phone (630) 574-5860

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215924212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 OAK BROOK CENTER MALL",
            "address_2": "STE 410",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231806",
            "telephone_number": "630-574-5860",
            "fax_number": "630-574-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 OAK BROOK CENTER MALL",
            "address_2": "STE 410",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231806",
            "telephone_number": "630-574-5860",
            "fax_number": "630-574-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISA K GEHLMANN MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GEHLMANN",
        "authorized_official_first_name": "LOUISA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-574-5860",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360505141",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.