Mark Kruszewski, APN, CNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

209.008847 Issued in IL

Practice address

3310 W Main St
Suite 200
St Charles, IL 60175-1000

Phone

(630) 897-6044

Fax

(630) 897-0180

NPI assigned

Jun 7, 2011

Last updated

Feb 21, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1255625281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2357 SEQUOIA DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605066222",
            "telephone_number": "630-859-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 W MAIN ST",
            "address_2": "SUITE 200",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601751000",
            "telephone_number": "630-897-6044",
            "fax_number": "630-897-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSZEWSKI",
        "first_name": "MARK",
        "credential": "APN, CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-07",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "209.008847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Krouse, LPC
• Nancy Robin Krtek
• Brittany Nicole Krucek, BCBA
• Allison Shepard Krupa, CCC-SLP
• Daniel J Kruse, MD
• Ryan Paul Kuebler, D.M.D.
• Kenneth Kuhn, MS, LMFT
• Nancy Joanne Kuhn, L.M.F.T., L.C.P.C.
• Meghna Kumar
• Dave Kunik

• Pediatric Nurse Practitioner in St Charles, IL
• Providers in St Charles, IL by specialty
• Pediatric Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.