Organization Active NPI

Malgorzata Szyfer M.D. LLC

  • Primary Care Clinic/Center
  • Chicago, IL
National Provider Identifier
1578889093
Registry record updated Apr 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
036.114297 Issued in IL
Legal business name
MALGORZATA SZYFER M.D. LLC
Practice address
3401 N Central Ave
Chicago, IL 60634-4426
Phone
(773) 777-2800
Fax
(773) 777-2801
NPI assigned
Apr 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2010

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

Authorized official

Name
Dr. Malgorzata Szyfer, M.D.NPI 1083662795
Title
Owner
Phone
(773) 777-2800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 036.114297 IL Primary

Addresses

Primary practice location

3401 N Central Ave
Chicago, IL 60634-4426

Mailing address

3401 N Central Ave
Chicago, IL 60634-4426
Phone (773) 777-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100818000708 IL Part B Supplier - Clinic/Group Practice 3577697176 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

5509 W Montrose Ave
Chicago, IL 60641
Phone (773) 545-5444

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270684800000",
    "number": "1578889093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 N CENTRAL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344426",
            "telephone_number": "773-777-2800",
            "fax_number": "773-777-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 N CENTRAL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344426",
            "telephone_number": "773-777-2800",
            "fax_number": "773-777-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALGORZATA SZYFER M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-08",
        "last_updated": "2010-04-08",
        "status": "A",
        "authorized_official_last_name": "SZYFER",
        "authorized_official_first_name": "MALGORZATA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-777-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "036.114297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.