Bartlomiej Lukasz Radzik, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

125074712 Issued in IL

Practice address

840 S. Wood St.
Suite 130 CSN
Chicago, IL 60612

Phone

(312) 996-7312

NPI assigned

Apr 11, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: bradzik18671@uihealth.direct-ci.com

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572134400000",
    "number": "1689137184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4132 N OLCOTT AVE",
            "city": "NORRIDGE",
            "state": "IL",
            "postal_code": "607061111",
            "telephone_number": "708-408-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 S. WOOD ST.",
            "address_2": "SUITE 130 CSN",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "312-996-7312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADZIK",
        "first_name": "BARTLOMIEJ",
        "middle_name": "LUKASZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-11",
        "last_updated": "2019-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "125074712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "radzik1@uic.edu",
            "affiliation": "N",
            "endpointDescription": "Hospital Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "840 S Wood St Ste 130",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606124325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ahmed Radwan, DO
• Karam Radwan
• Ewa Radwanska, MD
• Zachary Radwanski, DO
• Alia D. Radzik
• Alexandra Radzin
• Agnieszka Joanna Radziszewska, MD
• Margaret Radziszewski, DDS
• Brittany Radziwon, LCSW
• Rae Rich, LCSW, PC

• Anatomic Pathology & Clinical Pathology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.