Individual provider Active NPI

Bozena Witek, MD

  • Hematology & Oncology Physician
  • Chicago, IL
National Provider Identifier
1275639585
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
036076914 Issued in IL
Practice address
7447 W Talcott Ave
Suite One
Chicago, IL 60631-3745
Phone
(773) 774-0042
Fax
(773) 774-2008
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 036076914 IL Primary

Addresses

Primary practice location

7447 W Talcott Ave
Suite One
Chicago, IL 60631-3745

Mailing address

7447 W Talcott Ave
Suite One
Chicago, IL 60631-3745
Phone (773) 774-0042

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bwitek252027@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101214001067 IL Practitioner - Hematology/OncologyPractitioner - Hematology 5395643076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1983
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

25070 Network PL
Suite 1
Chicago, IL 60673-3745

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036076914ILMDHematology & Oncology Physician
036076919ILMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Cancer Specialists Hematology & Oncology CurrentSince Jul 1, 2018 Accepting new patients

Locations

880 W Central Rd
Ste 8200
Arlington Heights, IL 60005
Phone (847) 259-4482

7447 W Talcott Ave
Ste 1
Chicago, IL 60631
Phone (773) 774-0042

25070 Network Pl
Ste 1
Chicago, IL 60673

25070 Network Pl
Chicago, IL 60673
Phone (847) 585-7000

8915 W Golf Rd
Niles, IL 60714
Phone (847) 692-9255

Interoperability endpoints

  • Direct secure messaging: bozena.witek@ics.ikm.direct-ci.com

Organizations & group practices 1

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1275639585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE",
            "address_2": "SUITE ONE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313745",
            "telephone_number": "773-774-0042",
            "fax_number": "773-774-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE",
            "address_2": "SUITE ONE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313745",
            "telephone_number": "773-774-0042",
            "fax_number": "773-774-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITEK",
        "first_name": "BOZENA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036076914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bwitek252027@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7447 W Talcott Ave",
            "address_2": "Suite One",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606313745",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "7447 W Talcott Ave",
            "address_2": "Suite One",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606313745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.