Michael J Sobczak, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

036065708 Issued in IL

Practice address

12251 S 80TH Ave
Palos Community Hospital
Palos Heights, IL 60463-1256

Phone

(708) 923-5700

Fax

(708) 923-8848

NPI assigned

Jan 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Palos Anesthesia Associates, S.C

  • Anesthesiology Physician
  • Palos Heights, IL
  • NPI 1659345791
  Authorized official Same address or phone
• Infectious Disease Specialists of Chicago

  • Infectious Disease Physician
  • Chicago, IL
  • NPI 1194786574
  NPD (past)

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1235109307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 239D",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600688018",
            "telephone_number": "847-759-1560",
            "fax_number": "847-803-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12251 S 80TH AVE",
            "address_2": "PALOS COMMUNITY HOSPITAL",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631256",
            "telephone_number": "708-923-5700",
            "fax_number": "708-923-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBCZAK",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036065708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036065708",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "050019856",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyla Nichelle Smith, M.D.
• Tamaar Smith
• Paul Sniezko
• Christen Snodgrass, M.S., CCC-SLP/L
• Jacob G Snyder, DPT
• Soft Landing Interventions, LLC (Symetria Health)
• Dora Sokolowski
• Sarah Soni, M.D.
• Vinod Kumar Soni, M.D.
• Southside Orthopaedics P.C. (dba HEIGHTS PHYSICAL THERAPY)

• Anesthesiology Physician in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Anesthesiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.