Active NPI
Katarzyna Kielczyk, M.D.
- Internal Medicine Physician
- Oak Park, IL
National Provider Identifier
1194922203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 125-051023
- Practice address
- 3 Erie CT
Oak Park, IL 60302-2519 - Phone
- (708) 763-1222
- NPI assigned
- Jul 2, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125-051023 | IL | Primary |
Addresses
Primary practice location
3 Erie CT
Oak Park, IL 60302-2519
Mailing address
317 Wisconsin Ave
3C
Oak Park, IL 60302-5516
Phone (630) 596-3135
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125-051023 | IL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194922203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 WISCONSIN AVE",
"address_2": "3C",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603025516",
"telephone_number": "630-596-3135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 ERIE CT",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603022519",
"telephone_number": "708-763-1222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIELCZYK",
"first_name": "KATARZYNA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125-051023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.