Bozena Scigacz Medical Office S.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036107066 Issued in IL

Legal business name

BOZENA SCIGACZ MEDICAL OFFICE S.C.

Practice address

28 W Lake St
Suite 2
Addison, IL 60101-2709

Phone

(630) 458-0688

Fax

(630) 458-0698

NPI assigned

May 22, 2006

Last updated

Sep 8, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bozena Ewa Scigacz, MDNPI 1053365577

Title

Ceo

Phone

(630) 458-0688

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FBGBCA

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bozena Ewa Scigacz, M.D.

  • Internal Medicine Physician
  • Addison, IL
  • NPI 1053365577
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1225083157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 W LAKE ST",
            "address_2": "SUITE 2",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601012709",
            "telephone_number": "630-458-0688",
            "fax_number": "630-458-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 W LAKE ST",
            "address_2": "SUITE 2",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601012709",
            "telephone_number": "630-458-0688",
            "fax_number": "630-458-0698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOZENA SCIGACZ MEDICAL OFFICE S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "SCIGACZ",
        "authorized_official_first_name": "BOZENA",
        "authorized_official_middle_name": "EWA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-458-0688",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036107066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Romeo Borova
• Marta Borowska, PHARMD
• Amy Bossman, BA
• Antonique Bowen
• Laura B Boyd, M.D.
• Samarth Brahmbhatt I
• Adam E Brhel, DPT
• Miguel Angel Briones
• Broadway Medical Care SC
• Merrick Jay Bromberg, D.O.

• Internal Medicine Physician in Addison, IL
• Providers in Addison, 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 Sep 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.