Individual provider Active NPI

Elzbieta Bujak

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1427449065
Registry record updated Feb 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180009547 Issued in IL
Practice address
6833 N Kedzie Ave Apt 509
Chicago, IL 60645-2876
Phone
(773) 558-6498
NPI assigned
Feb 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180009547 IL Primary

Addresses

Primary practice location

6833 N Kedzie Ave Apt 509
Chicago, IL 60645-2876

Mailing address

6833 N Kedzie Ave Apt 509
Chicago, IL 60645-2876
Phone (773) 558-6498

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
180009547ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424131200000",
    "number": "1427449065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6833 N KEDZIE AVE APT 509",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606452876",
            "telephone_number": "773-558-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6833 N KEDZIE AVE APT 509",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606452876",
            "telephone_number": "773-558-6498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUJAK",
        "first_name": "ELZBIETA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-17",
        "last_updated": "2015-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180009547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; 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.