NPIMap

Organization Active NPI

Andrew & Lubomyra Kazaniwskyj DO

  • Family Medicine Physician
  • Palos Heights, IL
National Provider Identifier
1649697483
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ANDREW & LUBOMYRA KAZANIWSKYJ DO
Practice address
11747 Southwest Hwy
Palos Heights, IL 60463-1015
Phone
(708) 671-0990
Fax
(708) 671-0994
NPI assigned
Mar 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Authorized official

Name
Dr. Andrew L Kazaniwskyj, DONPI 1548249071
Title
Owner
Phone
(708) 671-0990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

11747 Southwest Hwy
Palos Heights, IL 60463-1015

Mailing address

11747 Southwest Hwy
Palos Heights, IL 60463-1015
Phone (708) 671-0990

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1395100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1649697483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11747 SOUTHWEST HWY",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631015",
            "telephone_number": "708-671-0990",
            "fax_number": "708-671-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11747 SOUTHWEST HWY",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631015",
            "telephone_number": "708-671-0990",
            "fax_number": "708-671-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW & LUBOMYRA KAZANIWSKYJ DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-18",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "KAZANIWSKYJ",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-671-0990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "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 Palos Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.