MEDICARE: GIA CHICAGO, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1578297594
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GIA CHICAGO, INC.

Provider Business Mailing Address
First Line	:	25 E WASHINGTON ST STE 1462
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60602-1855
Country	:	US
Telephone Number	:	786-652-2462
Fax Number	:

Provider Business Practice Location Address
First Line	:	25 E WASHINGTON ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60602-1708
Country	:	US
Telephone Number	:	786-652-2462
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	KYLIE STOOPS
Credential	:
Telephone Number	:	786-652-2462

Provider Enumeration Date	:	07/14/2022
Last Update Date	:	12/10/2025

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Directions to “GIA CHICAGO, INC. ” Practice Location

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