Eugene A Muzykansky, MD
Individual provider Active NPI Internal Medicine Physician · Oak Lawn, IL
NPI 1457328874 · NPPES record last updated Nov 2, 2023
Key facts
- NPI
- 1457328874
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 036098613 (IL)
- Practice address
- 5851 W 95TH St Ste 100
Oak Lawn, IL 60453-2415 - Phone
- (708) 636-1601
- Fax
- (708) 636-1825
- NPI assigned
- Mar 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Adult Primary Care Center LTD
Practice addresses (Care Compare)
215 Remington Blvd
Suite I
Bolingbrook, IL 60440-3665
Phone (630) 378-9191
5851 W 95TH St
Suite 100
Oak Lawn, IL 60453-2415
Phone (708) 636-1601
Hospital & facility affiliations
- Icare Home Health
- Advocate Home Health Care Serv
- Advocate Christ Hospital & Medical Center
- Uchicago Medicine Adventhealth Bolingbrook
- Edward Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070425000081 | IL | Practitioner - Internal Medicine | 2062517790 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Dale S Raines & Associates LTD | Current | Accepting new patients | |
| Adult Primary Care Center, LTD. | Internal Medicine | Current |
Accepting new patients |
| Suburban Pulmonary & Sleep Associates LTD | Past |
Accepting new patients |
Locations
5851 W 95th St
Ste 100
Oak Lawn, IL 60453
Phone (708) 636-1601
4340 W 95th St
Oak Lawn, IL 60453
Phone (708) 425-3770
10837 S Cicero Ave
Ste 320
Oak Lawn, IL 60453
Phone (708) 636-1601
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036098613 | IL | Yes |
Addresses
Primary practice location
5851 W 95TH St Ste 100
Oak Lawn, IL 60453-2415
Mailing address
5851 W 95TH St Ste 100
Oak Lawn, IL 60453-2415
Phone (708) 636-1601
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036098613 | Medicaid | IL |
Other providers in Oak Lawn, IL
- Sarah Musleh
- Rowa M Mustafa Alfahal
- Asif K Mustafa
- Yosra M Muthana
- Dhahab Muthanna
- Alison Frasor Myers
- David Myers
- Thomas Francis Myers
- Myeyedr Optometry of Illinois, LLC
- Ronald Myint
All providers in Oak Lawn, IL · Internal Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.