Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gabisa Medical Chicago PLLC

Organization Primary Care Clinic/Center · NPI 1104563121

Gabisa Medical Chicago PLLC is a Primary Care Clinic/Center in Chicago, Illinois. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3504 N Broadway St
Chicago, IL 60657-1826
Phone: (773) 697-8676
Fax: (888) 929-2371
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1104563121
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marcelo Venegas Pizarro — Director · (347) 524-1914
NPI enumeratedMay 20, 2022
Last updated in NPPESMay 20, 2022
Certification dateMay 20, 2022
Mailing address3504 N Broadway St, Chicago, IL 60657-1826

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