Daniel a Gutstein, MD, LTD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036109673 Issued in IL

Legal business name

DANIEL A GUTSTEIN, MD, LTD

Practice address

8170 McCormick Blvd Ste 190
Skokie, IL 60076-2961

Phone

(847) 626-4374

Fax

(847) 929-4266

NPI assigned

Dec 8, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Daniel A Gutstein, M.D.NPI 1851316434

Title

President

Phone

(847) 626-4374

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel A Gutstein, MD

  • Family Medicine Physician
  • Skokie, IL
  • NPI 1851316434
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1851669618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 MCCORMICK BLVD STE 190",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762961",
            "telephone_number": "847-626-4374",
            "fax_number": "847-929-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8170 MCCORMICK BLVD STE 190",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762961",
            "telephone_number": "847-626-4374",
            "fax_number": "847-929-4266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL A GUTSTEIN, MD, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "GUTSTEIN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-626-4374",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036109673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036109673",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bowtiedr@direct.practicefusion.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8170 McCormick Blvd Ste 190",
            "city": "Skokie",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600762961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Karolina Czyszczon
• Andrew Michael Dahlem Jr., M. D.
• Kelly Patricia Dale, OTR/L
• Deanna Patrice Dalezman, CCC-SLP
• Sabina Dalzell
• Daniel M. Haycraft MD, PC
• Sheeba Daniel, PH.D.
• Kelly Danielak, ATC, LAT
• Christina Darcangelo
• Monika Darji, M.D.

• Family Medicine Physician in Skokie, IL
• Providers in Skokie, 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 Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.