Bogumila Wolska, DEVELOPMENTAL THERAP

Primary specialty

SpecialistTaxonomy code 174400000X

License

BW59680599P Issued in IL

Practice address

5560 N Olcott Ave
Chicago, IL 60656-1749

Phone

(773) 775-5378

Fax

(773) 775-5378

NPI assigned

Mar 19, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619091030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5560 N OLCOTT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606561749",
            "telephone_number": "773-775-5378",
            "fax_number": "773-775-5378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5560 N OLCOTT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606561749",
            "telephone_number": "773-775-5378",
            "fax_number": "773-775-5378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLSKA",
        "first_name": "BOGUMILA",
        "name_prefix": "Mrs.",
        "credential": "DEVELOPMENTAL THERAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "BW59680599P",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy Lucile Wolniak, M.D., PH.D.
• Emily Wolodiger, PH.D.
• Sarah A Woloszczuk
• Leslie Wolowitz, P.H.D.
• Elita Wolsk, MA LCSW
• Matthew Wolski
• Rebecca J Wolsky, M.D.
• Jeffrey Scott Wolszon, D.D.S
• Caroline Wolter, RN
• Marguerite J Wolter, MA

• Specialist in Chicago, IL
• Providers in Chicago, IL by specialty
• Specialist 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.