Orest Rywak, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

036-058956 Issued in IL

Practice address

1423 Chicago Rd
Chicago Heights, IL 60411-3400

Phone

(708) 756-1000

NPI assigned

Jun 16, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239840000000",
    "number": "1689618035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 N GREENVIEW AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142015",
            "telephone_number": "773-472-7137",
            "fax_number": "773-472-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 CHICAGO RD",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604113400",
            "telephone_number": "708-756-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYWAK",
        "first_name": "OREST",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2009-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-058956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4622394",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036058956",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Emergency Medicine Physician in Chicago Heights, IL
• Providers in Chicago Heights, IL by specialty
• Emergency Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; 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.