Active NPI
Bruno Kramarczyk
- Occupational Therapist
- La Grange Park, IL
National Provider Identifier
1538547724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.011672
- Practice address
- 333 N la Grange Rd
Suite One
La Grange Park, IL 60526-5646 - Phone
- (708) 745-5277
- NPI assigned
- May 8, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Occupational Therapist | 225X00000X | 056.011672 | IL | Primary |
Addresses
Primary practice location
333 N la Grange Rd
Suite One
La Grange Park, IL 60526-5646
Mailing address
333 N la Grange Rd
La Grange Park, IL 60526-5646
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
| License | State | Type | Specialty |
|---|---|---|---|
| 056.011672 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476576000000",
"number": "1538547724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 N LA GRANGE RD",
"city": "LA GRANGE PARK",
"state": "IL",
"postal_code": "605265646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 N LA GRANGE RD",
"address_2": "SUITE ONE",
"city": "LA GRANGE PARK",
"state": "IL",
"postal_code": "605265646",
"telephone_number": "708-745-5277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAMARCZYK",
"first_name": "BRUNO",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-08",
"last_updated": "2016-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.011672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Grange Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.