Organization Active NPI

Plonski Medical S.C.

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1710131503
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-066226 Issued in IL
Legal business name
PLONSKI MEDICAL S.C.
Practice address
6901 W Archer Ave
Chicago, IL 60638-2319
Phone
(773) 229-8300
NPI assigned
Nov 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

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

Authorized official

Name
Donna Plonski
Title
Office Manager
Phone
(773) 229-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 036-066226 IL Primary

Addresses

Primary practice location

6901 W Archer Ave
Chicago, IL 60638-2319

Mailing address

6901 W Archer Ave
Chicago, IL 60638-2319
Phone (773) 229-8300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1710131503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 W ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382319",
            "telephone_number": "773-229-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 W ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382319",
            "telephone_number": "773-229-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLONSKI MEDICAL S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "PLONSKI",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "773-229-8300"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-066226",
            "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 Nov 6, 2008; 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.