Active NPI
Luke Edward Muzyka
- Social Worker
- Chicago, IL
National Provider Identifier
1306697636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 000000000000
- Practice address
- 1041 N Western Ave
Chicago, IL 60622-6089 - Phone
- (312) 650-9132
- NPI assigned
- Mar 27, 2024
- Last updated
- Mar 27, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 000000000000 | IL | Primary |
Addresses
Primary practice location
1041 N Western Ave
Chicago, IL 60622-6089
Mailing address
6035 S Menard Ave
Chicago, IL 60638-4419
Phone (773) 243-7062
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000000000000 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711497600000",
"number": "1306697636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6035 S MENARD AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606384419",
"telephone_number": "773-243-7062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1041 N WESTERN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606226089",
"telephone_number": "312-650-9132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUZYKA",
"first_name": "LUKE",
"middle_name": "EDWARD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-03-27",
"last_updated": "2024-03-27",
"certification_date": "2024-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": "IL",
"license": "000000000000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.