Active NPI
Adam D Garibay, MD
- Dermatology Physician
- Chicago, IL
National Provider Identifier
1326509134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 036164673
- Practice address
- 1950 W Polk St
Chicago, IL 60612-3723 - Phone
- (312) 864-0200
- NPI assigned
- Mar 26, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 036164673 | IL | Primary |
Addresses
Primary practice location
1950 W Polk St
Chicago, IL 60612-3723
Mailing address
1950 W Polk St # Pb4800
Chicago, IL 60612-3723
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036164673 | IL | MD | Dermatology Physician |
Interoperability endpoints
- agaribay698859@direct.memorialcare.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710115200000",
"number": "1326509134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 W POLK ST # PB4800",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 W POLK ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123723",
"telephone_number": "312-864-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARIBAY",
"first_name": "ADAM",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-26",
"last_updated": "2024-03-11",
"certification_date": "2024-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IL",
"license": "036164673",
"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 Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.