Active NPI
Aki and Kroczek Surgical Associates, LTD.
- Surgery Physician
- Chicago, IL
National Provider Identifier
1245335744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 036-074391
- Legal business name
- AKI AND KROCZEK SURGICAL ASSOCIATES, LTD.
- Practice address
- 7447 W Talcott Ave
Suite 221
Chicago, IL 60631-3745 - Phone
- (773) 763-1234
- Fax
- (773) 631-1650
- NPI assigned
- Sep 13, 2006
- Last updated
- Jul 30, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Tabatha Magnus
- Title
- Office Manager
- Phone
- (773) 763-1234
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 036-074391 | IL | Primary |
Addresses
Primary practice location
7447 W Talcott Ave
Suite 221
Chicago, IL 60631-3745
Mailing address
7447 W Talcott Ave
Suite 221
Chicago, IL 60631-3745
Phone (773) 763-1234
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036-096989 | Medicaid | IL | |
| CN7023 | Other | IL | RR MEDICARE PTAN |
| 036-074391 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Surgery Physician
- Des Plaines, IL
- NPI 1528050598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280448000000",
"number": "1245335744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7447 W TALCOTT AVE",
"address_2": "SUITE 221",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606313745",
"telephone_number": "773-763-1234",
"fax_number": "773-631-1650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7447 W TALCOTT AVE",
"address_2": "SUITE 221",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606313745",
"telephone_number": "773-763-1234",
"fax_number": "773-631-1650"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AKI AND KROCZEK SURGICAL ASSOCIATES, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-13",
"last_updated": "2010-07-30",
"status": "A",
"authorized_official_last_name": "MAGNUS",
"authorized_official_first_name": "TABATHA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "773-763-1234",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036-074391",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036-096989",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PTAN",
"identifier": "CN7023",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036-074391",
"state": "IL"
}
],
"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 Jul 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.