Active NPI
Jozef Tryzno, M.D., RVT
- Phlebology Physician
- Park Ridge, IL
National Provider Identifier
1649382334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebology Physician
- License
- 036089963
- Practice address
- 760 Busse Hwy
Park Ridge, IL 60068-2402 - Phone
- (847) 518-9999
- Fax
- (847) 518-2288
- NPI assigned
- Aug 31, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036089963 | IL | |
| Phlebology Physician | 202K00000X | 036089963 | IL | Primary |
Addresses
Primary practice location
760 Busse Hwy
Park Ridge, IL 60068-2402
Mailing address
760 Busse Hwy
Park Ridge, IL 60068-2402
Phone (847) 518-9999
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| O1625643 | Other | IL | BCBS PROVIDER NUMBER |
| 39089963 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2015 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250467200000",
"number": "1649382334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 BUSSE HWY",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600682402",
"telephone_number": "847-518-9999",
"fax_number": "847-518-2288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 BUSSE HWY",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600682402",
"telephone_number": "847-518-9999",
"fax_number": "847-518-2288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRYZNO",
"first_name": "JOZEF",
"credential": "M.D., RVT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2009-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036089963",
"primary": false
},
{
"code": "202K00000X",
"taxonomy_group": "",
"desc": "Phlebology",
"state": "IL",
"license": "036089963",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "O1625643",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39089963",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2009; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.