Active NPI
Andriy Strelkin, RSA
- Surgical Assistant
- Chicago, IL
National Provider Identifier
1013251479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 238.00349
- Practice address
- 830 N Washtenaw Ave
Chicago, IL 60622-4787 - Phone
- (773) 619-3961
- Fax
- (708) 484-0673
- NPI assigned
- Nov 23, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 238.00349 | IL | Primary |
Addresses
Primary practice location
830 N Washtenaw Ave
Chicago, IL 60622-4787
Mailing address
830 N Washtenaw Ave
Chicago, IL 60622-4787
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 238.00349 | IL | MD | Surgical Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Camio Inc | Surgical Assistant | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgical Assistant
- Chicago, IL
- NPI 1629619127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353628800000",
"number": "1013251479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 N WASHTENAW AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606224787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 N WASHTENAW AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606224787",
"telephone_number": "773-619-3961",
"fax_number": "708-484-0673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRELKIN",
"first_name": "ANDRIY",
"credential": "RSA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-23",
"last_updated": "2012-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "IL",
"license": "238.00349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.