Patrycja Anna Ptak, BSN, RNC-NIC, IBCLC

Primary specialty

Neonatal Intensive Care Registered NurseTaxonomy code 163WN0002X

License

041345461 Issued in IL

Practice address

5803 N Campbell Ave Apt 2
Chicago, IL 60659-5445

Phone

(773) 220-4973

NPI assigned

Apr 4, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing

State licenses

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1710739370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5803 N CAMPBELL AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606595445",
            "telephone_number": "773-220-4973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5803 N CAMPBELL AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606595445",
            "telephone_number": "773-220-4973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PTAK",
        "first_name": "PATRYCJA",
        "middle_name": "ANNA",
        "name_prefix": "Miss",
        "credential": "BSN, RNC-NIC, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "IL",
            "license": "L-56770",
            "primary": false
        },
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "IL",
            "license": "041345461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christana Psyhojos
• PT Pearls, LLC
• PT Wellness
• PT X Aj Inc
• Melissa Ptak, DO
• Donna Ptasinski, APRN
• Pu Woong Kim,MD,.SC
• Yonglin Pu
• Archariya Puangampai, PHARMD
• Deborah Lynn Pucci, PT

• Neonatal Intensive Care Registered Nurse in Chicago, IL
• Providers in Chicago, IL by specialty
• Neonatal Intensive Care Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.