Organization Active NPI

Dorothy Prusek, S.C.

  • Family Medicine Physician
  • Elmhurst, IL
National Provider Identifier
1699897975
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DOROTHY PRUSEK, S.C.
Practice address
363 N York St
Elmhurst, IL 60126-2321
Phone
(630) 279-8200
Fax
(630) 279-8236
NPI assigned
Apr 6, 2007
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. Dorothy Prusek, M.D.
Title
Owner
Phone
(630) 279-8200

Specialties & licenses 1

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

Addresses

Primary practice location

363 N York St
Elmhurst, IL 60126-2321

Mailing address

363 N York St
Elmhurst, IL 60126-2321
Phone (630) 279-8200

National Provider Directory

National Provider Directory

Locations

535 S Elm St
Itasca, IL 60143
Phone (630) 397-0022

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699897975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 N YORK ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262321",
            "telephone_number": "630-279-8200",
            "fax_number": "630-279-8236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 N YORK ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262321",
            "telephone_number": "630-279-8200",
            "fax_number": "630-279-8236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOROTHY PRUSEK, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRUSEK",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-279-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "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 Elmhurst, 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.