Dupage Meta-Vascular Medicine PC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

036047587 Issued in IL

Legal business name

DUPAGE META-VASCULAR MEDICINE PC

Practice address

245 S Gary Ave
Suite 202
Bloomingdale, IL 60108-2228

Phone

(630) 893-2190

Fax

(630) 307-8716

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Barbara Mary Kosiek

Title

RN/Practice Manager

Phone

(630) 893-2190

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296777600000",
    "number": "1366581811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 S GARY AVE",
            "address_2": "SUITE 202",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082228",
            "telephone_number": "630-893-2190",
            "fax_number": "630-307-8716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 S GARY AVE",
            "address_2": "SUITE 202",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082228",
            "telephone_number": "630-893-2190",
            "fax_number": "630-307-8716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUPAGE META-VASCULAR MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2011-02-04",
        "status": "A",
        "authorized_official_last_name": "KOSIEK",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "RN/PRACTICE MANAGER",
        "authorized_official_telephone_number": "630-893-2190",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": "036047587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD NUMBER",
            "identifier": "2232209",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1366581811",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD",
            "identifier": "P00843099",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Weronika Dudkiewicz
• Roanne F Dunaway, P.A.-C.
• Dupage Cardiology SC
• Dupage Medical Group LTD
• Dupage Medical Group, LTD.
• Duraes Jham Dental, P.C
• Gabriela V Duraes, DDS
• Autumn Blaire M Durias, O.D.
• Daniel Patrick Durkin, DC
• Ears in Bloom Audiology, LLC

• Endocrinology, Diabetes & Metabolism Physician in Bloomingdale, IL
• Providers in Bloomingdale, IL by specialty
• Endocrinology, Diabetes & Metabolism Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; 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.