GABISA MEDICAL CHICAGO PLLC
NPI 1104563121
Clinic/Center - Primary Care in Chicago, IL

Q: What is Gabisa Medical Chicago PLLC's NPI number?

The NPI number for Gabisa Medical Chicago PLLC is 1104563121. It was assigned to this organization in the NPPES registry on May 20, 2022.

Q: What is Gabisa Medical Chicago PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since May 20, 2022

3504 N BROADWAY ST, CHICAGO, IL 60657(773) 697-8676(888) 929-2371 Get Directions Write a Review

NPPES record last updated: May 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Gabisa Medical Chicago Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GABISA MEDICAL CHICAGO PLLC (NPI 1104563121) is a healthcare organization registered as a primary care in Chicago, Illinois and active in the NPI registry since May 2022. The organization lists Marcelo Venegas Pizarro, Director, as its authorized official.

NPPES Registry Identity

NPI1104563121

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameGABISA MEDICAL CHICAGO PLLC

Location Address3504 N BROADWAY STChicago, IL 60657-1826

Mailing Address3504 N Broadway StChicago, IL 60657-1826 · (773) 697-8676 · Fax (888) 929-2371

Phone(773) 697-8676

Fax(888) 929-2371

Organization SubpartNo

Authorized OfficialMarcelo Venegas PizarroDirector · (347) 524-1914

Enumeration DateMay 20, 2022

NPPES CertifiedMay 20, 2022

✔ NPI 1104563121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

3504 N BROADWAY ST, Chicago, IL 60657

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gabisa Medical Chicago PLLC's NPI number?

The NPI number for Gabisa Medical Chicago PLLC is 1104563121. It was assigned to this organization in the NPPES registry on May 20, 2022.

Where is Gabisa Medical Chicago PLLC located?

Gabisa Medical Chicago PLLC is located at 3504 N Broadway St, Chicago, IL 60657. The listed phone number is (773) 697-8676.

What is Gabisa Medical Chicago PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Gabisa Medical Chicago PLLC was last updated on May 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.