Organization 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
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
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

Updated by the provider on Nov 18, 2015

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X
Vascular Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2086S0129X
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.