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GABISA MEDICAL CHICAGO PLLC
NPI 1821765140
Clinic/Center - Community Health in Chicago, IL

Active since August 25, 2021
4121 W NORTH AVE, CHICAGO, IL 60639(773) 697-8623(888) 929-2371 Get Directions Write a Review

NPPES record last updated: August 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gabisa Medical Chicago Pllc NPPES

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

GABISA MEDICAL CHICAGO PLLC (NPI 1821765140) is a healthcare organization registered as a community health in Chicago, Illinois and active in the NPI registry since August 2021. The organization lists Marcelo Venegas-pizarro, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1821765140
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameGABISA MEDICAL CHICAGO PLLC
Location Address4121 W NORTH AVEChicago, IL 60639-5205
Mailing Address3436 Clinton AveBerwyn, IL 60402-3322 · (347) 524-1914 · Fax (888) 929-2371
Phone(773) 697-8623
Fax(888) 929-2371
Organization SubpartNo
Authorized OfficialMarcelo Venegas-pizarroMedical Director · (347) 524-1914
Enumeration DateAugust 25, 2021
NPPES CertifiedAugust 25, 2021
✔ NPI 1821765140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
4121 W NORTH AVE, Chicago, IL 60639
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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 1821765140. It was assigned to this organization in the NPPES registry on August 25, 2021.

Where is Gabisa Medical Chicago PLLC located?

Gabisa Medical Chicago PLLC is located at 4121 W North Ave, Chicago, IL 60639. The listed phone number is (773) 697-8623.

What is Gabisa Medical Chicago PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

When was this NPI record last updated?

The NPPES record for Gabisa Medical Chicago PLLC was last updated on August 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.