Yacob H. Gawo, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036071593 Issued in IL

Practice address

3800 W Madison St
Chicago, IL 60624-2334

Phone

(773) 826-6600

Fax

(773) 826-1407

NPI assigned

Sep 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Horizon Gawo LTD.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1770632689
  NPD (past) Authorized official
• Emergency Room Care Providers, S.C.

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1417990219
  NPD (past)

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336867200000",
    "number": "1831296540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 W MADISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606242334",
            "telephone_number": "773-826-6600",
            "fax_number": "773-826-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 W MADISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606242334",
            "telephone_number": "773-826-6600",
            "fax_number": "773-826-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAWO",
        "first_name": "YACOB",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2012-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036071593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036071593",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Syeda Gavina, APN-CNP
• Alona Gavryshchuk
• Jodie Gaw, DO
• Paula Gawedzki, PHARMD
• Mary Kay Gawne, APN
• Kristina Gawor, M.D.
• Andrew Joseph Gawron, M.D., PH.D., M.S.
• Charles J Gawronski, R.PH.
• Michael Gawronski
• Marek Gawrysz, MD

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2012; 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.

Verify at the official NPI Registry.