Individual provider Active NPI

Zbigniew M Ciechanowski, M.D.

  • Internal Medicine Physician
  • St Charles, IL
National Provider Identifier
1467452573
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Practice address
2020 Dean St
Suite G
St Charles, IL 60174-1665
Phone
(630) 513-0298
Fax
(630) 578-6701
NPI assigned
Jul 29, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X IL Primary
Pediatrics Physician 208000000X IL

Addresses

Primary practice location

2020 Dean St
Suite G
St Charles, IL 60174-1665

Mailing address

2020 Dean St
Suite G
St Charles, IL 60174-1665
Phone (630) 513-0298

Other identifiers 1

IdentifierTypeStateIssuer
7316904081MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040806001271 IL Practitioner - Internal MedicinePractitioner - Pediatric Medicine 3476452681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Other, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2020 Dean St
Suite G
St Charles, IL 60174-1665
Phone (630) 513-0298

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036106922ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Valley Adult and Pediatric Medicine PC Internal Medicine CurrentSince May 17, 2004 Accepting new patients
Heritage Emergency Physicians Past Accepting new patients
Signature Medical Clinic LLC PastSince Mar 1, 2020 Accepting new patients

Locations

2020 Dean St
Ste G
St Charles, IL 60174
Phone (312) 404-4162

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1467452573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 DEAN ST",
            "address_2": "SUITE G",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741665",
            "telephone_number": "630-513-0298",
            "fax_number": "630-578-6701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 DEAN ST",
            "address_2": "SUITE G",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741665",
            "telephone_number": "630-513-0298",
            "fax_number": "630-578-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIECHANOWSKI",
        "first_name": "ZBIGNIEW",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7316904081",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

Verify at the official NPI Registry.