Jurek and Jurek Family Practice LTD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036081828 Issued in IL

Legal business name

JUREK AND JUREK FAMILY PRACTICE LTD

Practice address

5059 W 111TH St
Alsip, IL 60803-6074

Phone

(708) 425-1300

Fax

(708) 425-3443

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Marzena A. Miskowiec

Title

Office Manager

Phone

(708) 415-3705

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bozena B Jurek, MD

  • Family Medicine Physician
  • Alsip, IL
  • NPI 1568453777
  Medicare reassignment NPD

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1295853380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5059 W 111TH ST",
            "city": "ALSIP",
            "state": "IL",
            "postal_code": "608036074",
            "telephone_number": "708-425-1300",
            "fax_number": "708-425-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5059 W 111TH ST",
            "city": "ALSIP",
            "state": "IL",
            "postal_code": "608036074",
            "telephone_number": "708-425-1300",
            "fax_number": "708-425-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUREK AND JUREK FAMILY PRACTICE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "MISKOWIEC",
        "authorized_official_first_name": "MARZENA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "708-415-3705",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036081828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hopeveryday LLC
• Mahdi Diab Ifteih, CPHT
• Ijm Holdings LTD
• Ladonna Johnson, LMSW
• Sidney Allen Joseph
• Bozena B Jurek, MD
• Jordan Dallas Karovic
• Kexito LLC
• Jillian Kilburn, LPC
• Sara Klimpel, PTA

• Family Medicine Physician in Alsip, IL
• Providers in Alsip, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.