Active NPI
Robert M. Gasior, M.D., F.a.C.S., S.C.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Blue Island, IL
National Provider Identifier
1972977676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Legal business name
- ROBERT M. GASIOR, M.D., F.A.C.S., S.C.
- Practice address
- 2338 New Street
Blue Island, IL 60406-2402 - Phone
- (708) 371-3105
- Fax
- (708) 390-2105
- NPI assigned
- Nov 18, 2015
- 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
- Robert M. Gasior, M.D.
- Title
- Sole Proprietor
- Phone
- (630) 734-0059
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | |||
| Vascular Surgery Physician | 2086S0129X | |||
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | Primary |
Addresses
Primary practice location
2338 New Street
Blue Island, IL 60406-2402
Mailing address
2338 New Street
Blue Island, IL 60406-2402
Phone (708) 371-3105
National Provider Directory
National Provider DirectoryLocations
11560 S Kedzie Ave
Ste 100
Merrionette Park, IL 60803
Phone (708) 824-1114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447804800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1447804800000",
"number": "1972977676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2338 NEW STREET",
"city": "BLUE ISLAND",
"state": "IL",
"postal_code": "604062402",
"telephone_number": "708-371-3105",
"fax_number": "708-390-2105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2338 NEW STREET",
"city": "BLUE ISLAND",
"state": "IL",
"postal_code": "604062402",
"telephone_number": "708-371-3105",
"fax_number": "708-390-2105"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT M. GASIOR, M.D., F.A.C.S., S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-18",
"last_updated": "2015-11-18",
"status": "A",
"authorized_official_last_name": "GASIOR",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "SOLE PROPRIETOR",
"authorized_official_telephone_number": "630-734-0059",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blue Island, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.