Marek Walczyk, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

36107779 Issued in IL

Practice address

5519 N. Cumberland Ave.
Ste 1016
Chicago, IL 60656-0000

Phone

(708) 224-8840

Fax

(773) 594-7720

NPI assigned

Aug 25, 2005

Last updated

Jan 20, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Psychiatry Clinics, S.C.

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1164047833
  NPD Authorized official
• Marek Walczyk MD SC

  • Adult Mental Health Clinic/Center
  • Park Ridge, IL
  • NPI 1417112954
  Authorized official Same address or phone
• Garfield Ridge Medical Group

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1942258652
  NPD (past)
• Professional Accounts Receivable Management Team

  dba Cognitive Counseling Center

  • Psychiatry Physician
  • Homewood, IL
  • NPI 1881760353
  NPD (past)
• Quality Rehabilitation, Inc.

  • Physical Therapist
  • Chicago, IL
  • NPI 1013922806
  NPD (past)

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232409600000",
    "number": "1447243373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5519 N. CUMBERLAND AVE.",
            "address_2": "STE 1016",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606560000",
            "telephone_number": "708-224-8840",
            "fax_number": "773-594-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5519 N. CUMBERLAND AVE.",
            "address_2": "STE 1016",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606560000",
            "telephone_number": "708-224-8840",
            "fax_number": "773-594-7720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALCZYK",
        "first_name": "MAREK",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2009-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "36107779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020363109",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1632658",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quinnlyn Alyssa Walcott, MD
• Brian Joseph Walczak, D.D.S.
• Debra Ann Walczak, CCNS
• Natalia Walczak, RD
• Samantha Walczuk, PHARMD
• Eric L. Wald, MD
• Laura Ann Wald, MSW
• Ryann Challoner Wald
• Angela Lecia Walden, PHD
• John Dickson Walden

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; 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.