Bohdan Kroczek Surgical, LTD.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

036-074391 Issued in IL

Legal business name

BOHDAN KROCZEK SURGICAL, LTD.

Practice address

7447 W Talcott Ave
Suite 221
Chicago, IL 60631-3745

Phone

(773) 763-1234

NPI assigned

Feb 5, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Bohdan Kroczek, M.D.

Title

President

Phone

(847) 840-2885

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1043634553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE",
            "address_2": "SUITE 221",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313745",
            "telephone_number": "773-763-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE",
            "address_2": "SUITE 221",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313745",
            "telephone_number": "773-763-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOHDAN KROCZEK SURGICAL, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-05",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "KROCZEK",
        "authorized_official_first_name": "BOHDAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-840-2885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036-074391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget Anne Bohan, PT, DPT
• Erin Bohannan, LDN
• Mary Katherine Bohannon, LCSW
• Shenika Bohannon, RN-BSN
• Bohdan Dudas MD SC
• Jodi Marie Bohl, CPNP
• Elizabeth Ann Bohling, NP-C
• Tiffany Bohling
• Kelley Bohm, M.D.
• Becky Lynn Bohn, R.N.

• Anesthesiology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Anesthesiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.