Active NPI
Michael Joseph Muszynski, M.D. MPH
- Internal Medicine Physician
- Willow Springs, IL
National Provider Identifier
1629225974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036063518
- 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, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 036063518 | IL | MD | Internal Medicine Physician |
| 036-063518 | IL | MD | Public 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.