Gloria M Mroz, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036062732 Issued in IL

Practice address

455 S Roselle Rd
# 226
Schaumburg, IL 60193-2971

Phone

(847) 352-4649

Fax

(847) 352-4673

NPI assigned

Jul 8, 2006

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 identifiers 1

Electronic endpoints 1

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1770516239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 S ROSELLE RD",
            "address_2": "# 226",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601932971",
            "telephone_number": "847-352-4649",
            "fax_number": "847-352-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 S ROSELLE RD",
            "address_2": "# 226",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601932971",
            "telephone_number": "847-352-4649",
            "fax_number": "847-352-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MROZ",
        "first_name": "GLORIA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036062732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "036062732",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gmroz5000@direct.nch.org",
            "affiliation": "N",
            "address_1": "455 S Roselle Rd",
            "address_2": "# 226",
            "city": "Schaumburg",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601932971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Perla Moreno
• Michael Scott Morris, PA-C
• Madelon Moser
• Edward Moustis, RBT
• Lisa Elaine Moy, BSN, RN, IBCLC, RLC
• Amy Mueller, ATC
• Samantha Claire Mueller, DMD
• Kalilah Muhammad
• Mariya Muhr, BCBA
• Markie Paige Mulchay, BCBA

• Internal Medicine Physician in Schaumburg, IL
• Providers in Schaumburg, 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 May 10, 2021; 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.