Organization Active NPI

Marsha E. Gorens, M.D.

  • Obstetrics & Gynecology Physician
  • Chicago, IL
National Provider Identifier
1366555989
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
MARSHA E. GORENS, M.D.
Practice address
1645 W Jackson Blvd
Suite 318
Chicago, IL 60612-3276
Phone
(312) 421-0600
Fax
(312) 421-0660
NPI assigned
Aug 17, 2006
Last updated
Feb 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Authorized official

Name
Dr. Marsha Elaine GorensNPI 1902823347
Title
Physician
Phone
(312) 421-0600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X IL Primary

Addresses

Primary practice location

1645 W Jackson Blvd
Suite 318
Chicago, IL 60612-3276

Mailing address

1645 W Jackson Blvd
Suite 318
Chicago, IL 60612-3276
Phone (312) 421-0600

National Provider Directory

National Provider Directory

Locations

1645 W Jackson Blvd
Ste 318
Chicago, IL 60612
Phone (312) 421-0600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1366555989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 W JACKSON BLVD",
            "address_2": "SUITE 318",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123276",
            "telephone_number": "312-421-0600",
            "fax_number": "312-421-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 W JACKSON BLVD",
            "address_2": "SUITE 318",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123276",
            "telephone_number": "312-421-0600",
            "fax_number": "312-421-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHA E. GORENS, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "GORENS",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "312-421-0600",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": null,
            "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 Feb 4, 2008; 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.