Organization Active NPI

Copernicus Medical Corporation.,LTD.

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1639296486
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COPERNICUS MEDICAL CORPORATION.,LTD.
Practice address
5251 N Milwaukee
Chicago, IL 60630-4634
Phone
(773) 283-9300
Fax
(773) 283-0098
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Authorized official

Name
Mr. Rafal Jacek Chojnacki, M.D.
Title
President
Phone
(773) 283-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5251 N Milwaukee
Chicago, IL 60630-4634

Mailing address

5251 N Milwaukee Ave
Chicago, IL 60630-4634
Phone (773) 283-9300

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1639296486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5251 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606304634",
            "telephone_number": "773-283-9300",
            "fax_number": "773-283-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5251 N MILWAUKEE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606304634",
            "telephone_number": "773-283-9300",
            "fax_number": "773-283-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPERNICUS MEDICAL CORPORATION.,LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "CHOJNACKI",
        "authorized_official_first_name": "RAFAL",
        "authorized_official_middle_name": "JACEK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-283-9300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.