Aurora Internal Medicine, LTD.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036086232 Issued in IL

Legal business name

AURORA INTERNAL MEDICINE, LTD.

Practice address

23 S Lincolnway
North Aurora, IL 60542-1645

Phone

(630) 264-8000

Fax

(630) 264-9470

NPI assigned

May 16, 2006

Last updated

Feb 3, 2011By 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

Dr. Ted Joseph Kulczycki, M.D.

Title

President

Phone

(630) 264-8000

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296691200000",
    "number": "1235181488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 S LINCOLNWAY",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "605421645",
            "telephone_number": "630-264-8000",
            "fax_number": "630-264-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 S LINCOLNWAY",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "605421645",
            "telephone_number": "630-264-8000",
            "fax_number": "630-264-9470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA INTERNAL MEDICINE, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2011-02-03",
        "status": "A",
        "authorized_official_last_name": "KULCZYCKI",
        "authorized_official_first_name": "TED",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-264-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036086232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "04521997",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036086232",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1558311738",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Aurora Dentrix North Aurora
• Aurora Physical Medicine
• Hammad T. Aziz, D.D.S.
• Timothy Bailey
• Sakina Shikari Bajowala, M.D.
• Tehmina Asad Bajwa, M.D.

• Internal Medicine Physician in North Aurora, IL
• Providers in North Aurora, 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 Feb 3, 2011; 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.