Organization Active NPI

Dr Donald K Szachowicz MD SC

Doing business as Des Plaines Family Medicine

  • Family Medicine Physician
  • Des Plaines, IL
National Provider Identifier
1720265382
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
042617782 Issued in IL
Legal business name
DR DONALD K SZACHOWICZ MD SC
Doing business as
Des Plaines Family Medicine
Practice address
150 N River Rd
Suite 320
Des Plaines, IL 60016-1272
Phone
(847) 803-0500
Fax
(847) 803-0506
NPI assigned
Jan 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Authorized official

Name
Donald K Szachowicz, MD
Title
Ceo
Phone
(847) 803-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 042617782 IL Primary

Addresses

Primary practice location

150 N River Rd
Suite 320
Des Plaines, IL 60016-1272

Mailing address

PO Box 1536
Morton Grove, IL 60053-7536

Other identifiers 1

IdentifierTypeStateIssuer
036085018MedicaidIL

Other names 1

  • Des Plaines Family Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

691 Lee St
Des Plaines, IL 60016
Phone (847) 803-0500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1720265382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1536",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600537536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N RIVER RD",
            "address_2": "SUITE 320",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161272",
            "telephone_number": "847-803-0500",
            "fax_number": "847-803-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DONALD K SZACHOWICZ MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "SZACHOWICZ",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-803-0500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "042617782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036085018",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Des Plaines Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.