Marek Walczyk MD SC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MAREK WALCZYK MD SC

Practice address

1300 Higgins Rd
212
Park Ridge, IL 60068-5743

Phone

(847) 823-5151

NPI assigned

Jul 24, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Marek Walczyk, MD

Title

Owner

Phone

(708) 224-8840

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1417112954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 HIGGINS RD",
            "address_2": "212",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685743",
            "telephone_number": "847-823-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 HIGGINS RD",
            "address_2": "212",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685743",
            "telephone_number": "847-823-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAREK WALCZYK MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "WALCZYK",
        "authorized_official_first_name": "MAREK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-224-8840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1632658",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020363109",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosanne Helene Manos, SLPA/L
• Jamel Izzuddin Mansur, MD
• Marando Performance and Rehabilitation, PLLC
• Seth W Marcus, M.S.
• Slawomir Marecik, MD
• Ava Marie Margitza
• Maria M Loukas DDS LTD
• Tara Christman Maring, LPC
• Marin Nikolov Marinov, M.D.
• Alexandra Marion, OTR/L

• Adult Mental Health Clinic/Center in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.