Individual provider Active NPI

Lucyna Puszkarska, M.D.

  • Psychiatry Physician
  • Chicago, IL
National Provider Identifier
1215035902
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036093737 Issued in IL
Practice address
2233 W Division St
Chicago, IL 60622-3043
Phone
(330) 758-4515
Fax
(330) 758-5121
NPI assigned
Sep 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036093737 IL Primary

Addresses

Primary practice location

2233 W Division St
Chicago, IL 60622-3043

Mailing address

2233 W Division St
Chicago, IL 60622-3043
Phone (330) 758-4515

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101209000562 IL Practitioner - Psychiatry 6406922681 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Child, Adolescent, and Adult Psychiatry SCGroup PAC ID 6507932787, 2 clinicians

Practice addresses (Care Compare)

5420 N Milwaukee Ave
Chicago, IL 60630-1225
Phone (773) 594-9944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036093737ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Child, Adolescent, & Adult Psychiatry SC Psychiatry CurrentSince Jun 1, 2015 Accepting new patients
Riveredge Hospital Inc CurrentSince Jun 12, 2010 Accepting new patients

Locations

5420 N Milwaukee Ave
Chicago, IL 60630
Phone (773) 594-9944

8311 Roosevelt Rd
Forest Park, IL 60130
Phone (708) 488-4968

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215035902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 W DIVISION ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223043",
            "telephone_number": "330-758-4515",
            "fax_number": "330-758-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 W DIVISION ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223043",
            "telephone_number": "330-758-4515",
            "fax_number": "330-758-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUSZKARSKA",
        "first_name": "LUCYNA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036093737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.