Individual provider Active NPI

Andrzej Staszkiewicz, MD

  • Pain Medicine (Anesthesiology) Physician
  • Chicago, IL
National Provider Identifier
1689866717
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
036114444 Issued in IL
Practice address
1901 W. Harrison St.
Pain Clinic B 1St Floor
Chicago, IL 60612
Phone
(312) 864-3220
NPI assigned
Aug 13, 2007
Last updated
Jun 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD27711 OR
Anesthesiology Physician 207L00000X 036114444 IL
Pain Medicine (Anesthesiology) Physician 207LP2900X 036114444 IL Primary

Addresses

Primary practice location

1901 W. Harrison St.
Pain Clinic B 1St Floor
Chicago, IL 60612

Mailing address

1901 W Harrison St
Pain Clinic B Ist Floor
Chicago, IL 60612-3714
Phone (312) 864-3220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090527000405 IL Practitioner - AnesthesiologyPractitioner - Pain Management 1557455847 Reassigns benefits to 3 organizations
I20160805000196 WI Practitioner - Pain ManagementPractitioner - Anesthesiology 1557455847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Bernard HospitalGroup PAC ID 1759361579, 43 clinicians
Associated Anesthesiologists SCGroup PAC ID 6305744129, 150 clinicians

Practice addresses (Care Compare)

326 W 64TH St
St Bernard Anesthesia Group
Chicago, IL 60621-3114
Phone (773) 962-4100

6742 N Frostwood Pkwy
Peoria, IL 61615-2402
Phone (309) 692-5393

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036114444ILMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Francis Medical Center Current Accepting new patients
Associated Anesthesiologists, SC Anesthesiology CurrentSince Feb 3, 2025 Accepting new patients
Saint Francis Medical Center CurrentSince Jan 13, 2025 Accepting new patients
Associated Anesthesiologists, S.C. Anesthesiology CurrentSince Feb 3, 2025 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Advanced Pain Management, SC CurrentSince Sep 1, 2016 Accepting new patients
Pain Physicians of Wisconsin, SC CurrentSince Oct 1, 2020 Accepting new patients
St Bernard Hospital & Health Care Center CurrentSince Dec 1, 2025 Accepting new patients
Advanced Pain Management SC CurrentSince Sep 1, 2016 Accepting new patients
Jacksonville Crnas Inc Anesthesiology CurrentSince Aug 1, 2023 Accepting new patients
St Bernard Hospital & Health Care Center CurrentSince Dec 1, 2025 Accepting new patients
Osf Multi-Specialty Group CurrentSince Jan 13, 2025 Accepting new patients
Saint Francis Medical Center CurrentSince Jan 13, 2025 Accepting new patients
Milwaukee Surgicenter LLC PastSince Dec 1, 2020 Accepting new patients
Waukesha Surgicenter, LLC PastSince Dec 1, 2020 Accepting new patients
Madison Surgicenter LLC Past Accepting new patients
Advanced Pain Treatment of Chicago SC Past Accepting new patients

Locations

326 W 64th St
Chicago, IL 60621
Phone (773) 962-3900

1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

530 NE Glen Oak Ave
Peoria, IL 61637
Phone (309) 655-2553

530neglen Oak Ave
Peoria, IL 61637
Phone (309) 692-5393

6742 N Frostwood Pkwy
Peoria, IL 61615
Phone (309) 692-5393

8600 State Route 91
Peoria, IL 61615
Phone (309) 624-3250

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

1600 W Walnut St
South Jacksonville, IL 62650
Phone (217) 245-7275

2595 Development Dr
Ste 150
Green Bay, WI 54311
Phone (888) 901-7246

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

2500 W Layton Ave
Ste 200
Milwaukee, WI 53221
Phone (414) 282-5105

5007 S Howell Ave
Ste 115
Milwaukee, WI 53207
Phone (414) 325-3737

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1689866717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 W HARRISON ST",
            "address_2": "PAIN CLINIC B IST FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123714",
            "telephone_number": "312-864-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 W. HARRISON ST.",
            "address_2": "PAIN CLINIC B 1ST FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "312-864-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STASZKIEWICZ",
        "first_name": "ANDRZEJ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-13",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OR",
            "license": "MD27711",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036114444",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036114444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.