Active NPI
Henry G Liokumovich, MD
- Anesthesiology Physician
- Chicago, IL
National Provider Identifier
1639757172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 036168988
- Practice address
- 1901 W Harrison St FL 5
Chicago, IL 60612-3714 - Phone
- (312) 864-1905
- NPI assigned
- Mar 29, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036168988 | IL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | IL |
Addresses
Primary practice location
1901 W Harrison St FL 5
Chicago, IL 60612-3714
Mailing address
1901 W Harrison St FL 5
Chicago, IL 60612-3714
Phone (312) 864-1905
Other practice location 1
25 N Winfield Rd
Winfield, IL 60190-1379
Phone (630) 933-6675
Other names 1
- Gennadiy Guralnik
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210716001904 | IL | Order and Referring Only - Anesthesiology | 2961804695 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1639757172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 W HARRISON ST FL 5",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123714",
"telephone_number": "312-864-1905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 W HARRISON ST FL 5",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123714",
"telephone_number": "312-864-1905"
}
],
"practiceLocations": [
{
"address_1": "25 N Winfield Rd",
"address_purpose": "LOCATION",
"city": "Winfield",
"state": "IL",
"postal_code": "601901379",
"country_code": "US",
"telephone_number": "630-933-6675",
"fax_number": "630-933-2614",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIOKUMOVICH",
"first_name": "HENRY",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-29",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036168988",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GENNADIY",
"last_name": "GURALNIK",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.