NPIMap

Individual provider Active NPI

Cynthia L Czuba, PA

  • Physician Assistant
  • Rolling Meadows, IL
National Provider Identifier
1578861258
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.003913 Issued in IL
Practice address
3701 Algonquin Rd
Ste 900
Rolling Meadows, IL 60008-3127
Phone
(847) 577-0620
Fax
(847) 577-1475
NPI assigned
Mar 4, 2011
Last updated
Aug 30, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085.003913 IL Primary

Addresses

Primary practice location

3701 Algonquin Rd
Ste 900
Rolling Meadows, IL 60008-3127

Mailing address

62647 Collection Center Dr
Ste 900
Chicago, IL 60693-0626
Phone (812) 962-6407

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160310001413 IL Practitioner - Physician Assistant 4789980152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affiliated Oncologists LLCGroup PAC ID 2365606563, 43 clinicians

Practice addresses (Care Compare)

10604 Southwest Hwy
Suite 109
Chicago Ridge, IL 60415-2717
Phone (708) 424-9710

19060 Everett Blvd
Suite 112
Mokena, IL 60448-1942
Phone (708) 478-4302

4440 W 95TH St
Oak Lawn, IL 60453-2600
Phone (708) 684-5475

82 Orland Square Dr
Orland Park, IL 60462-3207
Phone (708) 342-1900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085.003913ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gynecological Cancer Institute of Chicago, LLC PastSince Apr 1, 2015 Accepting new patients
Express Urgent Care LLC PastSince Sep 1, 2018 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cynthia.czuba@affiliatedoncologists.ikm.direct-ci.com

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 7

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": "1299196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1578861258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62647 COLLECTION CENTER DR",
            "address_2": "STE 900",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606930626",
            "telephone_number": "812-962-6407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 ALGONQUIN RD",
            "address_2": "STE 900",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600083127",
            "telephone_number": "847-577-0620",
            "fax_number": "847-577-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZUBA",
        "first_name": "CYNTHIA",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-04",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.003913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Meadows, IL

Sources for this page

Verify at the official NPI Registry.