Active NPI
Malgorzata Surowiec
- Geriatric Pharmacist
- Des Plaines, IL
National Provider Identifier
1255109997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 051298294
- Practice address
- 2313 S Mount Prospect Rd
Des Plaines, IL 60018-1811 - Phone
- (847) 635-3000
- Fax
- (877) 566-9387
- NPI assigned
- Dec 12, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 051298294 | IL | Primary |
Addresses
Primary practice location
2313 S Mount Prospect Rd
Des Plaines, IL 60018-1811
Mailing address
176 Abbeywood Cir
Streamwood, IL 60107-1093
Phone (630) 670-5166
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051298294 | IL | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702339200000",
"number": "1255109997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "176 ABBEYWOOD CIR",
"city": "STREAMWOOD",
"state": "IL",
"postal_code": "601071093",
"telephone_number": "630-670-5166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2313 S MOUNT PROSPECT RD",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600181811",
"telephone_number": "847-635-3000",
"fax_number": "877-566-9387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUROWIEC",
"first_name": "MALGORZATA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-12",
"last_updated": "2023-12-12",
"certification_date": "2023-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "IL",
"license": "051298294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Des Plaines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.