Robert Budziakowski, MD, S.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036119835 Issued in IL

Legal business name

ROBERT BUDZIAKOWSKI, MD, S.C.

Practice address

3115 N Harlem Ave
Suite 201
Chicago, IL 60634-4684

Phone

(773) 889-0355

Fax

(773) 889-0803

NPI assigned

Aug 13, 2009

Organization subpart

No

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

Authorized official

Name

Robert Budziakowski, MDNPI 1508075102

Title

President

Phone

(773) 889-0355

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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

• Robert Stanislaw Budziakowski, M.D.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1508075102
  Medicare reassignment NPD Authorized official
• Beata Zosia Kowalczyk Budziakowska, MD

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1114952504
  NPD (past)

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250121600000",
    "number": "1598997249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 N BROADWAY AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600682312",
            "telephone_number": "773-889-0355",
            "fax_number": "773-889-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 N HARLEM AVE",
            "address_2": "SUITE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344684",
            "telephone_number": "773-889-0355",
            "fax_number": "773-889-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT BUDZIAKOWSKI, MD, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-13",
        "last_updated": "2009-08-13",
        "status": "A",
        "authorized_official_last_name": "BUDZIAKOWSKI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-889-0355",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036119835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Roberson, LCSW
• Robert a. Fajardo, M.D., S.C.
• Robert a. Levine, M.D., S.C.
• Robert a. Reff, M.D., P.C.
• Robert B Scott Ocularists LTD
• Robert E. Placzek D.D.S.,P.C.
• Robert H. Lurie Comprehensive Cancer Center of Northwestern University
• Robert Hjertquist, Inc.
• Robert I. Wier DDS, LTD
• Robert J Kash, M.D., S.C.

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; 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.