Mariusz Koziol MD LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

036.118758 Issued in IL

Legal business name

MARIUSZ KOZIOL MD LLC

Practice address

122 Biesterfield Rd
Elk Grove Village, IL 60007-3361

Phone

(847) 357-1144

Fax

(847) 357-9449

NPI assigned

Nov 13, 2007

Last updated

Feb 17, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mariusz Tomasz Koziol, M.D.NPI 1376752634

Title

Owner

Phone

(847) 312-4837

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mariusz Tomasz Koziol I, M.D.

  • Obstetrics & Gynecology Physician
  • Elk Grove Village, IL
  • NPI 1376752634
  Authorized official Same address or phone
• Eiman El Tag, M.D.

  • Obstetrics & Gynecology Physician
  • Evanston, IL
  • NPI 1407065154
  NPD (past)
• Janet B Ford, CNM

  • Advanced Practice Midwife
  • Elk Grove Village, IL
  • NPI 1639251788
  NPD (past)
• Elizabeth Garcia, CNM

  • Advanced Practice Midwife
  • Elk Grove Village, IL
  • NPI 1164524195
  NPD (past)

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234828800000",
    "number": "1063692580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 BIESTERFIELD RD",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073657",
            "telephone_number": "847-357-1144",
            "fax_number": "847-357-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 BIESTERFIELD RD",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073361",
            "telephone_number": "847-357-1144",
            "fax_number": "847-357-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIUSZ KOZIOL MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2009-02-17",
        "status": "A",
        "authorized_official_last_name": "KOZIOL",
        "authorized_official_first_name": "MARIUSZ",
        "authorized_official_middle_name": "TOMASZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-312-4837",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036.118758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1063692580",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adrienne Mannion
• Mansoor Khan MD SC
• Katelyn Marie Maramski, APN
• Jacqueline Marciel, FNP-BC
• Marian Healthcare Services, LLC
• Mark E Klein DDS and Associates PC (Village Dental)
• Jason Markworth, PT
• Priscila Marroquin
• Jacqueline Marshall, LCPC
• Theresa Linn Martin

• Obstetrics & Gynecology Physician in Elk Grove Village, IL
• Providers in Elk Grove Village, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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.