Miroslawa Alina Dulczewska Miller, MD PHD

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

036-091377 Issued in IL

Practice address

6211 N Milwaukee Ave
Chicago, IL 60646-3730

Phone

(773) 774-6677

Fax

(773) 774-3322

NPI assigned

May 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General PracticeAlso: Dermatology

Education

Other, 1966

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Pediatrics & Dermatology SC

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1437105947

  Legal Medicine

  Medicare reassignment NPD Authorized official
• Northside Dermatology & Laser Center, S.C.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1326865353
  Medicare reassignment

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210291200000",
    "number": "1013963537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6211 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606463730",
            "telephone_number": "773-774-6677",
            "fax_number": "773-774-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6211 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606463730",
            "telephone_number": "773-774-6677",
            "fax_number": "773-774-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULCZEWSKA MILLER",
        "first_name": "MIROSLAWA",
        "middle_name": "ALINA",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2008-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "IL",
            "license": "036-091377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-091377",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lillie Dulaney, LCSW, CADC,SAP
• Sarah Grace Dulaney, MD
• Andreina Dulanto, DDS, MS
• Susan M Dulay
• Mina K. Dulcan, M.D.
• Kate Dulin, LCSW
• Natalie Ries Dulin
• Susan J Duma, PSYD, MPH
• Gregory A Dumanian, MD
• Bogumila M Dumanska-Rudzki, DDS

• Legal Medicine in Chicago, IL
• Providers in Chicago, IL by specialty
• Legal Medicine in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.