Organization Active NPI

Michal Szczupak M.D.,LLC

Doing business as Women's and Children's Health Care Associates, LLC

  • Obstetrics & Gynecology Physician
  • Elk Grove Village, IL
National Provider Identifier
1255451019
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
MICHAL SZCZUPAK M.D.,LLC
Doing business as
Women's and Children's Health Care Associates, LLC
Practice address
800 Biesterfield Rd
408
Elk Grove Village, IL 60007-3361
Phone
(847) 593-6600
Fax
(847) 593-3544
NPI assigned
Mar 29, 2007
Last updated
Nov 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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

Authorized official

Name
Dr. Michal Cezary Szczupak, M.D.NPI 1780645986
Title
Doctor
Phone
(847) 593-6600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Obstetrics & Gynecology Physician 207V00000X NU Primary
Pediatrics Physician 208000000X NU

Addresses

Primary practice location

800 Biesterfield Rd
408
Elk Grove Village, IL 60007-3361

Mailing address

800 Biesterfield Rd
408
Elk Grove Village, IL 60007-3361
Phone (847) 593-6600

Other identifiers 2

IdentifierTypeStateIssuer
01633659OtherILBCBS
036106471MedicaidIL

Other names 1

  • Women's and Children's Health Care Associates, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

701 Lee St
Ste 660
Des Plaines, IL 60016
Phone (847) 593-6600

810 Biesterfield Rd
#104
Elk Grove Village, IL 60007
Phone (847) 593-6600

810 Biesterfield Rd
#S104
Elk Grove Vlg, IL 60007
Phone (847) 593-6600

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1255451019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD",
            "address_2": "408",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073361",
            "telephone_number": "847-593-6600",
            "fax_number": "847-593-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD",
            "address_2": "408",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073361",
            "telephone_number": "847-593-6600",
            "fax_number": "847-593-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAL SZCZUPAK M.D.,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "SZCZUPAK",
        "authorized_official_first_name": "MICHAL",
        "authorized_official_middle_name": "CEZARY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "847-593-6600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01633659",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036106471",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Women's and Children's Health Care Associates, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elk Grove Village, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.