Joyce Gertzen, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Practice address

15900 South Cicero Ave
Oak Forest, IL 60452-4006

Phone

(708) 687-7200

Fax

(708) 633-4136

NPI assigned

Oct 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jo Gertzen Other name

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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588740591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 W BERWYN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402006",
            "telephone_number": "773-728-9678",
            "fax_number": "708-633-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15900 SOUTH CICERO AVE",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604524006",
            "telephone_number": "708-687-7200",
            "fax_number": "708-633-4136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERTZEN",
        "first_name": "JOYCE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JO",
            "last_name": "GERTZEN",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael Joseph Gagnon, DC
• Jesalem Garnica
• Genesis Therapy Center
• Mathew George, M.D.
• Meena S George, M.D., PH.D.
• Valerie Jean Gill-Taylor, DEVLOPMENTAL THERAPI
• Tamara Jeanne Good
• Vanessa Granato-Wagner, M.S., CCC-SLP/L
• Chaya Grant, FNP-C
• Barbara L Grevengoed, LCPC

• Internal Medicine Physician in Oak Forest, IL
• Providers in Oak Forest, 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 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.