Gustavo E Oroza-Henners, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036-083375 Issued in IL

Practice address

1859 S Blue Island Ave
Chicago, IL 60608-3012

Phone

(312) 666-5455

NPI assigned

Nov 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437228806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 N MARION ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021253",
            "telephone_number": "312-666-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1859 S BLUE ISLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606083012",
            "telephone_number": "312-666-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OROZA-HENNERS",
        "first_name": "GUSTAVO",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036-083375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036083375",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Innocent Chijioke Orokoh
• Osaretin Oronsaye, M.D.
• Mario Oropesa
• Cesar Jose Oropeza Mota, MD
• Katrina Louise Orourke, DDS
• Claudia Denisse Orozco Vega, MD
• Adriana Orozco-Kellermeier
• Jennifer Marie Orozco, PA-C
• Karina Orozco, LCSW
• Maribel Orozco

• Pediatrics Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.