Anna Kuczaj

Key facts

NPI

1194126409

Entity type

Individual (NPI type 1)

Primary specialty

Massage Therapist 225700000X

License

227.014074 (IL)

Practice address

4413 Roosevelt Rd
Suite 100
Hillside, IL 60162-2074

Phone

(708) 449-5900

Fax

(708) 499-5901

NPI assigned

Sep 6, 2014

Sex

Female

Sole proprietor

No

Organizations & group practices 2

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

• Celar Chiropractic LTD Chiropractor · Hillside, IL · NPI 1689892929
  NPD (past)
• Tremper Healthcare Systems, LTD Chiropractor · Downers Grove, IL · NPI 1639247273
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 6, 2014.

{
    "created_epoch": "1409961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409961600000",
    "number": "1194126409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6619 KENTUCKY AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463231752",
            "telephone_number": "630-338-3682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4413 ROOSEVELT RD",
            "address_2": "SUITE 100",
            "city": "HILLSIDE",
            "state": "IL",
            "postal_code": "601622074",
            "telephone_number": "708-449-5900",
            "fax_number": "708-499-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCZAJ",
        "first_name": "ANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-06",
        "last_updated": "2014-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227.014074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillside, IL

• Rubiya Khan
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• Michael Kochanski
• Bhadra Dev Komarraju, APRN AGNP-C
• Jeffrey Wayne Krueger, PHARMD, RPH
• Gerry Lagua
• Sharon L Lapinski, B.S.RPH.
• Regina L. Lees, OTR
• Amy Elaine Litwiller, M.S., CCC-SLP
• Luxottica of America Inc

All providers in Hillside, IL · Massage Therapist in Illinois