Organization Active NPI

Gi Partners of Illinois, PLLC

  • Gastroenterology Physician
  • Libertyville, IL
National Provider Identifier
1548613995
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GI PARTNERS OF ILLINOIS, PLLC
Practice address
1880 W Winchester Rd
#201
Libertyville, IL 60048-5341
Phone
(847) 247-0187
Fax
(847) 247-0487
NPI assigned
Jul 21, 2016
Last updated
Jun 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Authorized official

Name
Evelina Wisniewski
Title
Credentialing Coordinator
Phone
(773) 407-4443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X NU Primary

Addresses

Primary practice location

1880 W Winchester Rd
#201
Libertyville, IL 60048-5341

Mailing address

1880 W Winchester Rd Ste 201
Libertyville, IL 60048-5336
Phone (847) 247-0187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160907001020 IL Part B Supplier - Clinic/Group Practice 2567758295 Receives reassigned benefits from 80 practitioners
Practice locations: Hinsdale, IL; Homewood, IL; Huntley, IL; Joliet, IL; Lake Barrington, IL; Lake Zurich, IL; Libertyville, IL; McHenry, IL…

National Provider Directory

National Provider Directory

Locations

4849 W Fullerton Ave
Ste A
Chicago, IL 60639
Phone (773) 637-5985

5145 N California Ave
Ste 645
Chicago, IL 60625
Phone (773) 871-6400

350 E Congress Pkwy
Ste D
Crystal Lake, IL 60014
Phone (847) 639-2999

3825 Highland Ave
Ste 302
Downers Grove, IL 60515
Phone (630) 434-9312

201 E Ogden Ave
Ste 50
Hinsdale, IL 60521
Phone (630) 400-4194

360 Surryse Rd
Lake Zurich, IL 60047
Phone (847) 438-2144

4309 W Medical Center Dr
Ste B100
McHenry, IL 60050
Phone (815) 363-0400

410 E Lincoln Hwy
Ste 570
New Lenox, IL 60451
Phone (815) 462-5546

3703 Doty Rd
Unit 3
Woodstock, IL 60098
Phone (815) 206-0371

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 90

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.

View all 90

NPI Registry JSON

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1548613995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 W WINCHESTER RD STE 201",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485336",
            "telephone_number": "847-247-0187",
            "fax_number": "847-247-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 W WINCHESTER RD",
            "address_2": "#201",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485341",
            "telephone_number": "847-247-0187",
            "fax_number": "847-247-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GI PARTNERS OF ILLINOIS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-21",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "WISNIEWSKI",
        "authorized_official_first_name": "EVELINA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "773-407-4443"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.