Organization Active NPI

Nowobilska Medical Practice

  • Legal Medicine
  • Chicago, IL
National Provider Identifier
1699701052
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
Legal business name
NOWOBILSKA MEDICAL PRACTICE
Practice address
5257 S Cicero Ave
Chicago, IL 60632-4915
Phone
(773) 735-8038
Fax
(773) 735-8297
NPI assigned
Jun 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Anna Nowobilska, M.D.
Title
Owner
Phone
(773) 735-8038

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X IL Primary

Addresses

Primary practice location

5257 S Cicero Ave
Chicago, IL 60632-4915

Mailing address

5257 S Cicero Ave
Chicago, IL 60632-4915
Phone (773) 735-8038

National Provider Directory

National Provider Directory
Tax ID family
Nowobilska Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699701052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5257 S CICERO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606324915",
            "telephone_number": "773-735-8038",
            "fax_number": "773-735-8297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5257 S CICERO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606324915",
            "telephone_number": "773-735-8038",
            "fax_number": "773-735-8297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOWOBILSKA MEDICAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NOWOBILSKA",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-735-8038",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.