Active NPI
Louisa K Gehlmann MD SC
- Dermatology Physician
- Oak Brook, IL
National Provider Identifier
1215924212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- 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, 2020
- 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
- Louisa K Gehlmann, MD
- Title
- Owner
- Phone
- (630) 574-5860
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0360505141 | Medicaid | IL |
National Provider Directory
National Provider DirectoryLocations
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.