Thomas Dzielawski, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Practice address

5225 W 79TH St
Burbank, IL 60459-1401

Phone

(708) 422-4440

Fax

(708) 422-5444

NPI assigned

Mar 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Injury Centers of Illinois

  • Physical Therapy Clinic/Center
  • Calumet City, IL
  • NPI 1265021067
  NPD Authorized official

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588780993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5252 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252448",
            "telephone_number": "773-878-7909",
            "fax_number": "773-878-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 W 79TH ST",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604591401",
            "telephone_number": "708-422-4440",
            "fax_number": "708-422-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZIELAWSKI",
        "first_name": "THOMAS",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marie Ellen Ellis, DO
• Adam Elmosa, DMD
• Sammy Anwar Elmosa, DDS

• Chiropractor in Burbank, IL
• Providers in Burbank, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.