Gesl Medical Imaging MD SC LTD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

036066365 Issued in IL

Legal business name

GESL MEDICAL IMAGING MD SC LTD

Practice address

930 Forest Ave
Oak Park, IL 60302-1310

Phone

(708) 386-3679

Fax

(708) 386-3679

NPI assigned

Sep 1, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Gustavo E Saravia, M.D.NPI 1659353621

Title

President

Phone

(708) 386-3679

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• Gustavo Eduardo Saravia, MD

  • Diagnostic Radiology Physician
  • Villa Park, IL
  • NPI 1659353621
  NPD (past) Authorized official
• Carla Veronica Saravia, INTERPRETER

  • Interpreter
  • Oak Park, IL
  • NPI 1194034108
  NPD (past)

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251763200000",
    "number": "1881827277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 FOREST AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021310",
            "telephone_number": "708-386-3679",
            "fax_number": "708-386-3679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 FOREST AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021310",
            "telephone_number": "708-386-3679",
            "fax_number": "708-386-3679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GESL MEDICAL IMAGING MD SC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-01",
        "last_updated": "2009-09-01",
        "status": "A",
        "authorized_official_last_name": "SARAVIA",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-386-3679",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036066365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036066365",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Audrey Gerdt, MSW, LCSW
• Geriatric Therapy Specialist, Inc
• Madeline J Gerig Shelly
• Nicole H Gerndt, LCPC
• Tara Diederich Gerou, D.C.
• Rad Gharavi, M.D.
• Sura Ghazi, DMD
• Farid Gholitabar, M.D.
• Samantha Gianakas, MS, RD, LDN
• Kathleen Anna Tressel Giandonato, MS, MSW, LCSW

• Diagnostic Radiology Physician in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; 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.