Andrew Matthew Kowalczyk, APRN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

209029192 Issued in IL

Practice address

737 N Michigan Ave Ste 820
Chicago, IL 60611-6659

Phone

(312) 202-0300

NPI assigned

Nov 19, 2024

Last updated

Mar 4, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Daniel Weissbluth, M.D, S.C

  dba Weissbluth Pediatrics

  • Pediatrics Physician
  • Chicago, IL
  • NPI 1710239439
  NPD (past)

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1235954728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 W VAN BUREN ST UNIT 2607",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606073936",
            "telephone_number": "773-814-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 N MICHIGAN AVE STE 820",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606116659",
            "telephone_number": "312-202-0300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9119 S Exchange Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606174225",
            "country_code": "US",
            "telephone_number": "773-768-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOWALCZYK",
        "first_name": "ANDREW",
        "middle_name": "MATTHEW",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-19",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "0414153938",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "209029192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luke Warner Kovatch, D.P.M.
• Brenda Koverman
• Vladimir Koveshnikov, MD
• Sara Jo Kowalczuk, NP
• Beata Zosia Kowalczyk Budziakowska, MD
• David Michael Kowalczyk, M.D., M.B.A.
• Hannah Kowalczyk
• Karolina Kowalczyk, L.C.S.W.
• Marian Kowalczyk, MD
• Martha Jeanne Kowalczyk, PHD

• Pediatric Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatric Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.