David Protaziuk, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

277002570 Issued in IL

Practice address

7501 Lemont Rd Ste 345D
Woodridge, IL 60517-2677

Phone

(708) 244-2627

NPI assigned

Aug 26, 2021

Reactivated

Apr 18, 2022

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1275200149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 LEMONT RD STE 345D",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605172677",
            "telephone_number": "708-244-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 LEMONT RD STE 345D",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605172677",
            "telephone_number": "708-244-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROTAZIUK",
        "first_name": "DAVID",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-26",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "deactivation_date": "2022-03-09",
        "reactivation_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277002570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Podiatric Management Systems LLC (Leonard Vekkos, DPM)
• Kevin R Polsley, M.D.
• Leo J Prentice, O.D.
• Mario Prete, MD
• Professional Eye Care
• Fariha Querishi, D.M.D.
• Monina Valencia Quiroga, PT
• Catherine Marie Racanelli, MASSAGE THERAPIST
• Rachel M. George DDS, P.C. (Discover Dental)
• Esra Rahima, PHARMD

• Family Nurse Practitioner in Woodridge, IL
• Providers in Woodridge, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.