Look up the most recent NPI and PECOS records

Gilberto Zavala

Internal Medicine

Allopathic & Osteopathic Physicians

1725 W Harrison St, Sutie 318, Chicago, IL 60612

PECOS Enrollment

Based on the most recent information from CMS, provider Gilberto Zavala is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1699700872
Provider Type
Individual
Full Name
Zavala, Gilberto
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
7/12/2006
Last Updated
5/8/2020

Contact Information

Practice Location

1725 W Harrison St, Sutie 318, Chicago, IL 60612

(312) 942-6647

(312) 942-3740

Mailing Location

1725 W Harrison St Ste 318, Chicago, IL 60612-3817

(312) 942-6647

(312) 942-3740

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 036103577 Illinois

Provider Identifiers

ID	Description	Issuer
ID 110215299	Description Other	Issuer RAILROAD MEDICARE
ID 01627234	Description Other	Issuer BCBS
ID 036103577	Description Medicaid	Issuer Unlisted Illinois

Gilberto Zavala

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Maresky, Gideon

Iglesias, Josune Natalia

Ilelaboye, Ayodeji Israel

Patel, Janvi Manish

Morrison, Orrianne

Jha, Vivek

Ahmed, Wasay Uddin

Berroya, Asuncion C

Rafiq, Muhammad

Koo, Jah-Won