Active NPI
R. Philip Szwajkun MD SC
- Plastic and Reconstructive Surgery Physician
- Chicago, IL
National Provider Identifier
1588914105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 036084650
- Legal business name
- R. PHILIP SZWAJKUN MD SC
- Practice address
- 2701 W 68TH St
2ND FL
Chicago, IL 60629-1813 - Phone
- (773) 884-7920
- NPI assigned
- Sep 11, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- R Philip Szwajkun, MD
- Title
- Ower
- Phone
- (773) 884-7920
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 036084650 | IL | Primary |
Addresses
Primary practice location
2701 W 68TH St
2ND FL
Chicago, IL 60629-1813
Mailing address
9229 Massasoit Ave
Oak Lawn, IL 60453-1657
Phone (773) 884-7920
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1347321600000",
"number": "1588914105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9229 MASSASOIT AVE",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604531657",
"telephone_number": "773-884-7920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 W 68TH ST",
"address_2": "2ND FL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606291813",
"telephone_number": "773-884-7920"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "R. PHILIP SZWAJKUN MD SC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-11",
"last_updated": "2012-09-11",
"status": "A",
"authorized_official_last_name": "SZWAJKUN",
"authorized_official_first_name": "R",
"authorized_official_middle_name": "PHILIP",
"authorized_official_title_or_position": "OWER",
"authorized_official_telephone_number": "773-884-7920",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "IL",
"license": "036084650",
"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 Sep 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.