Individual provider Active NPI

Mitchell A Krawczyk, MD

  • Obstetrics & Gynecology Physician
  • Homewood, IL
National Provider Identifier
1407847106
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Practice address
17901 Governors Highway
Ste 102
Homewood, IL 60430
Phone
(708) 799-8880
Fax
(708) 799-8991
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X IL Primary

Addresses

Primary practice location

17901 Governors Highway
Ste 102
Homewood, IL 60430

Mailing address

17901 Governors Highway
Ste 102
Homewood, IL 60430
Phone (708) 799-8880

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
I20120312000880 IL Practitioner - Obstetrics/GynecologyPractitioner - Hospitalist 7113084278 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036072884ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Homewood Flossmoor Medical Associates SC Obstetrics & Gynecology CurrentSince Feb 10, 1995 Accepting new patients
Ucm Medical Group Sub, LLC Obstetrics & Gynecology CurrentSince Jul 1, 2019 Accepting new patients

Locations

27702 Network Pl
Chicago, IL 60673

1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300

17901 Governors Hwy
Ste 102
Homewood, IL 60430
Phone (708) 799-8880

Interoperability endpoints

  • Direct secure messaging: mkrawczykmd187698@uchospital.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/6788/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1407847106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17901 GOVERNORS HIGHWAY",
            "address_2": "STE 102",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "60430",
            "telephone_number": "708-799-8880",
            "fax_number": "708-799-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17901 GOVERNORS HIGHWAY",
            "address_2": "STE 102",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "60430",
            "telephone_number": "708-799-8880",
            "fax_number": "708-799-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAWCZYK",
        "first_name": "MITCHELL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, IL

Sources for this page

Verify at the official NPI Registry.