Active NPI
Alexander Gacek, PT
- Physical Therapist
- Oak Lawn, IL
National Provider Identifier
1992473110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070-026082
- Practice address
- 10201 S Cicero Ave Ste B
Oak Lawn, IL 60453-4672 - Phone
- (708) 658-2770
- NPI assigned
- Sep 1, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070-026082 | IL | Primary |
Addresses
Primary practice location
10201 S Cicero Ave Ste B
Oak Lawn, IL 60453-4672
Mailing address
29373 Network PL
Chicago, IL 60673-4672
Phone (847) 390-5900
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | agacek314245@direct.myadvocateaurora.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-026082 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671580800000",
"number": "1992473110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29373 NETWORK PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606734672",
"telephone_number": "847-390-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10201 S CICERO AVE STE B",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604534672",
"telephone_number": "708-658-2770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GACEK",
"first_name": "ALEXANDER",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-01",
"last_updated": "2022-12-21",
"certification_date": "2022-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-026082",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "10201 S Cicero Ave Ste B",
"city": "Oak Lawn",
"state": "IL",
"country_code": "US",
"postal_code": "604534672",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "agacek314245@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "10201 S Cicero Ave Ste B",
"city": "Oak Lawn",
"state": "IL",
"country_code": "US",
"postal_code": "604534672",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.