Gregory Bulava MD LTD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036069715 Issued in IL

Legal business name

GREGORY BULAVA MD LTD

Practice address

5509 W Montrose Ave
Chicago, IL 60641-1331

Phone

(847) 590-1500

NPI assigned

Dec 1, 2010

Organization subpart

No

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

Authorized official

Name

Gregory M Bulava, M.D.

Title

Owner

Phone

(847) 590-1500

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Malgorzata Szyfer, M.D.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1083662795
  NPD (past)

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1477855146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5509 W MONTROSE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606411331",
            "telephone_number": "847-590-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5509 W MONTROSE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606411331",
            "telephone_number": "847-590-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY BULAVA MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "BULAVA",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-590-1500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036069715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036069715",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Louise Gregor, PA-C
• Mia M. Gregor, PSY.D.
• Gregorio R Aglipay MDSC
• Gregorio Rosenstein, M.D.
• Gregory a Wiener MD SC
• Gregory Clarke M.D., S.C.
• Gregory Emergency Physicians
• Gregory J Harms LLC
• Gregory L. Weathers, DDS, PC
• Gregory P Thomas, DDS, MD,P.C.

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.