Organization Active NPI

Beata S Bednarska MD PC

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1023094463
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BEATA S BEDNARSKA MD PC
Practice address
7447 W Talcott Ave
Ste 308, Professional Resurrection BLD
Chicago, IL 60631-3745
Phone
(773) 763-7522
Fax
(773) 763-7552
NPI assigned
Dec 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Beata S Bednarska, MDNPI 1588853030
Title
Medical Doctor
Phone
(773) 763-7522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X IL Primary

Addresses

Primary practice location

7447 W Talcott Ave
Ste 308, Professional Resurrection BLD
Chicago, IL 60631-3745

Mailing address

1215 Park Ridge Blvd
Park Ridge, IL 60068-5005
Phone (847) 698-2669

National Provider Directory

National Provider Directory

Locations

7447 W Talcott Ave
Ste 342
Chicago, IL 60631
Phone (773) 763-7440

7447 W Talcott Ave
Ste 312
Chicago, IL 60631
Phone (773) 467-9925

7447 W Talcott Ave
Ste 3
Chicago, IL 60631
Phone (773) 763-7440

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023094463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 PARK RIDGE BLVD",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685005",
            "telephone_number": "847-698-2669",
            "fax_number": "847-720-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE",
            "address_2": "STE 308, PROFESSIONAL RESURRECTION BLD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313745",
            "telephone_number": "773-763-7522",
            "fax_number": "773-763-7552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEATA S BEDNARSKA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEDNARSKA",
        "authorized_official_first_name": "BEATA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "773-763-7522",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "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 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.