Individual provider Active NPI

Gary J. Guziec, D.P.M.

  • Podiatrist
  • Chicago, IL
National Provider Identifier
1346327954
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016003262 Issued in IL
Practice address
1431 N. Western Ave.
Suite 210
Chicago, IL 60622-1775
Phone
(773) 489-3313
Fax
(773) 489-3441
NPI assigned
Nov 1, 2006
Last updated
Oct 7, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016003262 IL Primary

Addresses

Primary practice location

1431 N. Western Ave.
Suite 210
Chicago, IL 60622-1775

Mailing address

1431 N. Western Ave.
Suite 210
Chicago, IL 60622-1775
Phone (773) 489-3313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120213000783 IL Practitioner - Podiatry 7012174469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1431 N Western Ave
Suite 210
Chicago, IL 60622-1775

1431 N Western Hwy 210
Chicago, IL 60622-1775

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016003262ILMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gary J Guziec DPM LTD CurrentSince Feb 13, 2012 Accepting new patients

Locations

800 Main St
Ste 1
Antioch, IL 60002
Phone (847) 395-0627

1431 N Western Ave
Ste 210
Chicago, IL 60622
Phone (773) 296-3839

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317945600000",
    "number": "1346327954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 N. WESTERN AVE.",
            "address_2": "SUITE 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221775",
            "telephone_number": "773-489-3313",
            "fax_number": "773-489-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 N. WESTERN AVE.",
            "address_2": "SUITE 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221775",
            "telephone_number": "773-489-3313",
            "fax_number": "773-489-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZIEC",
        "first_name": "GARY",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016003262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.