Maria Jolanta Nicewicz, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036117003 Issued in IL

Practice address

7447 W Talcott Ave Ste 561
Chicago, IL 60631-3716

Phone

(773) 467-8866

Fax

(773) 467-8886

NPI assigned

Jun 4, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Chicago Pediatric & Neonatology SC

  • Pediatrics Physician
  • Chicago, IL
  • NPI 1679748503
  NPD (past)

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640908800000",
    "number": "1376745166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE STE 561",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313716",
            "telephone_number": "773-467-8866",
            "fax_number": "773-467-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE STE 561",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313716",
            "telephone_number": "773-467-8866",
            "fax_number": "773-467-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICEWICZ",
        "first_name": "MARIA",
        "middle_name": "JOLANTA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036117003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mnicewicz251538@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7447 W Talcott Ave Ste 561",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606313716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "mnicewicz251538@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "7447 W Talcott Ave Ste 561",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606313716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tahir Niazi, MD
• Vanessa Sandra Niba, MD
• Mara Nicandro, NMT, LMT
• Daniela Nicasio, OTR/L
• Nice Physical Therapy Group, PLLC
• Nicholas C Caro MD, LLC
• Nicholas Hatzis, MD
• Nicholas M. McCarley, PLLC
• Nicholas Shea PC
• Kaliqa Nicholas

• Pediatrics Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2021; 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.