Active NPI
Andrew Segovia Kulik, MD
- Psychiatry Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D0064334
- Practice address
- 836 W Wellington Ave
Chicago, IL 60657-5147 - Phone
- (773) 883-0200
- Fax
- (773) 883-0090
- NPI assigned
- Mar 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D0064334 | MD | Primary |
Addresses
Primary practice location
836 W Wellington Ave
Chicago, IL 60657-5147
Mailing address
938 W Wellington Ave
Chicago, IL 60657-5147
Phone (773) 883-0200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0064334 | MD | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook County | Psychiatry | Current | Accepting new patients |
| Cook County | Current | Accepting new patients | |
| Saint Anthony Health Affiliates | Psychiatry | Current | Accepting new patients |
| Cook County | Current | Accepting new patients | |
| Perspective Behavioral and Pain Solutions LTD | Current | Accepting new patients | |
| Saint Anthony Health Affiliates | Psychiatry | Current | Accepting new patients |
| Dixon F Spivy MD, LLC | Psychiatry | Past | Accepting new patients |
| Chicago Physician Associates,LLC | Psychiatry | Past | Accepting new patients |
| Oak Forest Psychological Service | Psychiatry | Past | Accepting new patients |
Locations
500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000
2875 W 19th St
Chicago, IL 60623
Phone (773) 484-4300
1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100
1900 W Polk St
Ste 1200
Chicago, IL 60612
4177 S Archer Ave
Chicago, IL 60632
Phone (773) 254-2222
2720 S River Rd
Ste 246
Des Plaines, IL 60018
Phone (847) 306-7277
2720 S River Rd
Ste 130
Des Plaines, IL 60018
Phone (224) 470-6107
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1588612832
-
- Psychologist
- Rosemont, IL
- NPI 1326671702
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1831219450
-
- Psychiatry Physician
- Chicago, IL
- NPI 1568661072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187308800000",
"number": "1245360411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "938 W WELLINGTON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606575147",
"telephone_number": "773-883-0200",
"fax_number": "773-883-0090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 W WELLINGTON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606575147",
"telephone_number": "773-883-0200",
"fax_number": "773-883-0090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KULIK",
"first_name": "ANDREW",
"middle_name": "SEGOVIA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2007-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D0064334",
"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 Aug 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.