OrganizationActive
Gabisa Medical Chicago PLLC
NPI 1821765140 · Community Health Clinic/Center · Chicago, IL
Provider details
- NPI number
- 1821765140
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Marcelo Venegas-Pizarro, Medical Director(347) 524-1914
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
4121 W North Ave
Chicago, IL 60639-5205
Phone: (773) 697-8623
Fax: (888) 929-2371
Approximate (ZIP-level) locationGet directions
Mailing address
3436 Clinton Ave
Berwyn, IL 60402-3322
Registry dates
- Enumerated
- 2021-08-25
- Last updated
- 2021-08-25
- Certified
- 2021-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.