Individual provider Active NPI

Renata Siedlik, MT

  • Massage Therapist
  • Chicago, IL
National Provider Identifier
1245143924
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
227.011693 Issued in IL
Practice address
8748 W Summerdale Ave
Chicago, IL 60656-2366
Phone
(773) 668-7303
NPI assigned
Sep 24, 2026
Last updated
Sep 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 227.011693 IL Primary

Addresses

Primary practice location

8748 W Summerdale Ave
Chicago, IL 60656-2366

Mailing address

8748 W Summerdale Ave
Chicago, IL 60656-2366
Phone (773) 668-7303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1245143924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8748 W SUMMERDALE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606562366",
            "telephone_number": "773-668-7303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8748 W SUMMERDALE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606562366",
            "telephone_number": "773-668-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEDLIK",
        "first_name": "RENATA",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-24",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227.011693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.