Roman D Mycyk DDS & James Ciesco DDS a Partnership

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ROMAN D MYCYK DDS & JAMES CIESCO DDS A PARTNERSHIP

Practice address

6315 No Milwaukee Ave
Chicago, IL 60646

Phone

(773) 774-1493

Fax

(773) 774-3193

NPI assigned

Jan 16, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Roman Daniel Mycyk, DDSNPI 1528118676

Title

Co Owner

Phone

(773) 774-1493

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roman Daniel Mycyk, DDS

  • Dentist
  • Chicago, IL
  • NPI 1528118676
  NPD (past) Authorized official
• James Nicholas Ciesco, DDS

  • Dentist
  • Chicago, IL
  • NPI 1558411603
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013068980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6315 NO MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60646",
            "telephone_number": "773-774-1493",
            "fax_number": "773-774-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6315 NO MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60646",
            "telephone_number": "773-774-1493",
            "fax_number": "773-774-3193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMAN D MYCYK DDS & JAMES CIESCO DDS A PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MYCYK",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "773-774-1493",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rom Rymer & Associates LTD
• Beth N Rom Rymer, PH.D.
• Savannah Romack
• Carmelle Romain
• Eric Romain
• Roman Marszalek D.D.S. Henryka Marszalek D.D.S.
• Salomon Alejandro Roman Soto
• Wendy Margarita Roman Valladares, MS
• Amanda L Roman, APN
• Arlene V Roman

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.