Active NPI
Marek Myslinski, RSA,CSFA
- Surgical Assistant
- Westmont, IL
National Provider Identifier
1023475605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 238.000447
- Practice address
- 815 Pasquinelli Dr
Westmont, IL 60559-1276 - Phone
- (630) 790-1872
- Fax
- (630) 355-3273
- NPI assigned
- Jan 27, 2016
- 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 | 238.000447 | IL | Primary |
Addresses
Primary practice location
815 Pasquinelli Dr
Westmont, IL 60559-1276
Mailing address
Pob 7132960
Chicago, IL 60677-0001
Phone (630) 469-9200
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mmyslinski287055@dulyhealthandcare.direct-ci.com | Direct |
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 |
|---|---|---|---|
| 238.000447 | IL | MD | Surgical Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dupage Medical Group LTD | Past | Accepting new patients |
Interoperability endpoints
- mmyslinski287055@dulyhealthandcare.direct-ci.com
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.
-
- Durable Medical Equipment & Medical Supplies
- Lockport, IL
- NPI 1568077212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730937600000",
"number": "1023475605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "POB 7132960",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606770001",
"telephone_number": "630-469-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 PASQUINELLI DR",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605591276",
"telephone_number": "630-790-1872",
"fax_number": "630-355-3273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYSLINSKI",
"first_name": "MAREK",
"credential": "RSA,CSFA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-27",
"last_updated": "2024-11-07",
"certification_date": "2024-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "IL",
"license": "238.000447",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mmyslinski287055@dulyhealthandcare.direct-ci.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "815 Pasquinelli Dr",
"city": "Westmont",
"state": "IL",
"country_code": "US",
"postal_code": "605591276",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Westmont, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.