Individual provider Active NPI

Michael Joseph Muszynski, M.D. MPH

  • Internal Medicine Physician
  • Willow Springs, IL
National Provider Identifier
1629225974
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036063518 Issued in IL
Practice address
307 S Charleton Ave
Willow Springs, IL 60480-1329
Phone
(708) 839-2321
Fax
(708) 839-2321
NPI assigned
Aug 19, 2008
Last updated
Sep 15, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036063518 IL Primary
Public Health & General Preventive Medicine Physician 2083P0901X 036-063518 IL

Addresses

Primary practice location

307 S Charleton Ave
Willow Springs, IL 60480-1329

Mailing address

307 S Charleton Ave
Willow Springs, IL 60480-1329
Phone (708) 839-2321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036063518ILMDInternal Medicine Physician
036-063518ILMDPublic Health & General Preventive Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221436800000",
    "number": "1629225974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S CHARLETON AVE",
            "city": "WILLOW SPRINGS",
            "state": "IL",
            "postal_code": "604801329",
            "telephone_number": "708-839-2321",
            "fax_number": "708-839-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S CHARLETON AVE",
            "city": "WILLOW SPRINGS",
            "state": "IL",
            "postal_code": "604801329",
            "telephone_number": "708-839-2321",
            "fax_number": "708-839-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSZYNSKI",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D. MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036063518",
            "primary": true
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "IL",
            "license": "036-063518",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Springs, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.