Organization Active NPI

Foundation for Medical Development in Central Europe Inc

  • Specialist
  • Evanston, IL
National Provider Identifier
1124433248
Registry record updated Nov 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
070.006767 Issued in IL
Legal business name
FOUNDATION FOR MEDICAL DEVELOPMENT IN CENTRAL EUROPE INC
Practice address
1927 Sherman Ave Apt 3N
Evanston, IL 60201-3229
Phone
(847) 328-7316
Fax
(847) 425-5155
NPI assigned
Jun 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2014

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

Authorized official

Name
Dr. Andrew M Bartkowski, R.P.T.,M.SC., M.B.A.
Title
President
Phone
(847) 328-7316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 070.006767 IL Primary

Addresses

Primary practice location

1927 Sherman Ave Apt 3N
Evanston, IL 60201-3229

Mailing address

1927 Sherman Ave Apt 3N
Evanston, IL 60201-3229
Phone (847) 328-7316

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415318400000",
    "number": "1124433248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1927 SHERMAN AVE APT 3N",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013229",
            "telephone_number": "847-328-7316",
            "fax_number": "847-425-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1927 SHERMAN AVE APT 3N",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013229",
            "telephone_number": "847-328-7316",
            "fax_number": "847-425-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION FOR MEDICAL DEVELOPMENT IN CENTRAL EUROPE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-11-07",
        "status": "A",
        "authorized_official_last_name": "BARTKOWSKI",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-328-7316",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "R.P.T.,M.SC., M.B.A."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "070.006767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.