Active NPI
Gregorio R Aglipay MDSC
- Surgery Physician
- Chicago, IL
National Provider Identifier
1821016643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 036063008
- Legal business name
- GREGORIO R AGLIPAY MDSC
- Practice address
- 5441 N Saint Louis Ave
Chicago, IL 60625-4622 - Phone
- (773) 588-3293
- Fax
- (773) 333-5661
- NPI assigned
- Jul 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregorio R Aglipay, M.D.
- Title
- President
- Phone
- (773) 588-3293
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 036063008 | IL | Primary |
Addresses
Primary practice location
5441 N Saint Louis Ave
Chicago, IL 60625-4622
Mailing address
5501 W 79TH St
Suite 400
Burbank, IL 60459-1784
Phone (773) 884-4523
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1632313 | Other | IL | BLUE SHIELD |
| 036063008 | Medicaid | IL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1418601600000",
"number": "1821016643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5501 W 79TH ST",
"address_2": "SUITE 400",
"city": "BURBANK",
"state": "IL",
"postal_code": "604591784",
"telephone_number": "773-884-4523",
"fax_number": "773-884-4580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5441 N SAINT LOUIS AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606254622",
"telephone_number": "773-588-3293",
"fax_number": "773-333-5661"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREGORIO R AGLIPAY MDSC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-18",
"last_updated": "2014-12-15",
"status": "A",
"authorized_official_last_name": "AGLIPAY",
"authorized_official_first_name": "GREGORIO",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-588-3293",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "IL",
"license": "036063008",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "1632313",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036063008",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
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 Dec 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.