Active NPI
Grzegorz Sulocha
- Oncology Pharmacist
- Munster, IN
National Provider Identifier
1164287017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Pharmacist
- License
- 051293918
- Practice address
- 701 Superior Ave
Munster, IN 46321-4037 - Phone
- (219) 922-4200
- NPI assigned
- Feb 20, 2024
- Reactivated
- May 22, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Oncology Pharmacist | 1835X0200X | 051293918 | IL | Primary |
Addresses
Primary practice location
701 Superior Ave
Munster, IN 46321-4037
Mailing address
13917 W Cantigny LN
Homer Glen, IL 60491-5933
Phone (224) 250-3035
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 |
|---|---|---|---|
| 051293918 | IL | MD | Oncology Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1164287017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13917 W CANTIGNY LN",
"city": "HOMER GLEN",
"state": "IL",
"postal_code": "604915933",
"telephone_number": "224-250-3035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 SUPERIOR AVE",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463214037",
"telephone_number": "219-922-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULOCHA",
"first_name": "GRZEGORZ",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-02-20",
"last_updated": "2025-09-11",
"certification_date": "2025-09-11",
"deactivation_date": "2024-10-29",
"reactivation_date": "2025-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "IL",
"license": "051293918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.