Robert Eugene Gorsich, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

36-40230 Issued in IL

Practice address

2425 W. 22ND St
Suite 103
Oak Brook, IL 60523-4644

Phone

(630) 571-3333

Fax

(630) 571-3340

NPI assigned

Oct 6, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497842736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 W. 22ND ST",
            "address_2": "SUITE 103",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234644",
            "telephone_number": "630-571-3333",
            "fax_number": "630-571-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 W. 22ND ST",
            "address_2": "SUITE 103",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234644",
            "telephone_number": "630-571-3333",
            "fax_number": "630-571-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORSICH",
        "first_name": "ROBERT",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "36-40230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Ophthalmology 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.