Roman Orest Kozyckyj

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ROMAN OREST KOZYCKYJ

Practice address

4700 W 95TH St
Suite 206
Oak Lawn, IL 60453-2533

Phone

(708) 229-2240

Fax

(708) 229-2494

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Sandy Gamez

Title

Biller

Phone

(708) 229-2240

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Roman O Kozyckyj, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Burbank, IL
  • NPI 1184603961
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1407998602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 W 95TH ST",
            "address_2": "SUITE 206",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532533",
            "telephone_number": "708-229-2240",
            "fax_number": "708-229-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 W 95TH ST",
            "address_2": "SUITE 206",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532533",
            "telephone_number": "708-229-2240",
            "fax_number": "708-229-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMAN OREST KOZYCKYJ",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "GAMEZ",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "708-229-2240"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01625872",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Charles Rogers, DDS
• Beatriz Lucinda Rojas, M.S., BCBA
• Clara Alexandra Rojas
• Emily Marie Roll, NP
• Jessica Rolla, DPT
• Hector Ivan Roman Perez, MD
• Patricia Roman
• Shelby Ronzio
• Krista Leigh Rooney
• Janine Rose Rosenberg, M.S., C.G.C.

• Internal Medicine Physician in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.