Ewa Osolkowski, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036-106097 Issued in IL

Practice address

1634 W.Polk STR.
Chicago, IL 60612

Phone

(312) 829-4224

NPI assigned

Aug 17, 2006

Last updated

Jul 5, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ewa Jachimowicz Former name

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pain Care Consultants, S.C.

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  • Park Ridge, IL
  • NPI 1669420055
  NPD (past)
• Soma Medical Clinic, LLC

  • General Acute Care Hospital
  • South Haven, MI
  • NPI 1952494353
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1174637326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 W 14TYH PLACE UHS",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "630-571-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 W.POLK STR.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "312-829-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSOLKOWSKI",
        "first_name": "EWA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-106097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EWA",
            "last_name": "JACHIMOWICZ",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Allison Osmer
• Jaroslaw Jan Osmialowski, D.N
• Meredith Elizabeth Osmulski
• Leah Ariel Osnis
• Laura Elizabeth Osoba, PA-C
• Tomasz Osolkowski, MD
• Jade Osoria-Duenas
• Elizabeth Osorno, RDN
• Adria N Ososkie, LCSW
• Camila Ospina Jimenez, MD

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.