Michael F Vosicky, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036082782 Issued in IL

Practice address

290 Springfield Dr Ste 290
Bloomingdale, IL 60108-2293

Phone

(630) 351-9170

Fax

(630) 439-3196

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Interoperability endpoints

• Direct secure messaging: familyhealthcare.michaelvosicky@129523.advancedmd-direct.com

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1609807908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 SPRINGFIELD DR",
            "address_2": "STE 290",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082293",
            "telephone_number": "630-351-9170",
            "fax_number": "630-439-3196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 SPRINGFIELD DR STE 290",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082293",
            "telephone_number": "630-351-9170",
            "fax_number": "630-439-3196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 S Gary Ave",
            "address_2": "Suite 204",
            "address_purpose": "LOCATION",
            "city": "Bloomingdale",
            "state": "IL",
            "postal_code": "601082200",
            "country_code": "US",
            "telephone_number": "630-351-9170",
            "fax_number": "630-439-3196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VOSICKY",
        "first_name": "MICHAEL",
        "middle_name": "F",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036082782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "47-2585424",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP NUMBER",
            "identifier": "0222075",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPG HFS PAYEE ID",
            "identifier": "3631498336019001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Visiting Doctors Network LLC
• Vital Care Solutions LLC
• Vivere Counseling
• Elizabeth Viveros, DPT
• Jerry Claude Vondruska, M.S.,ATC
• Alicia Anna Vulchev, DC
• Wal-Mart Stores Inc
• Walgreen Co
• Walgreen Co
• Walmart Inc.

• Family Medicine Physician in Bloomingdale, IL
• Providers in Bloomingdale, 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 Jan 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.