Individual provider Active NPI

Lauren Kuznicki, PA

  • Physician Assistant
  • Chicago, IL
National Provider Identifier
1720952765
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3333 W Fullerton Ave Unit B
Chicago, IL 60647-2513
Phone
(773) 257-0610
NPI assigned
Oct 2, 2025
Last updated
Jul 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X IL Primary

Addresses

Primary practice location

3333 W Fullerton Ave Unit B
Chicago, IL 60647-2513

Mailing address

2709 N Washtenaw Ave Apt 3S
Chicago, IL 60647-1853
Phone (248) 921-2837

Other practice location 1

60 Orland Square Dr Ste 101
Orland Park, IL 60462-6522
Phone (708) 726-6944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1759363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1720952765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 N WASHTENAW AVE APT 3S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606471853",
            "telephone_number": "248-921-2837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 W FULLERTON AVE UNIT B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606472513",
            "telephone_number": "773-257-0610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Orland Square Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604626522",
            "country_code": "US",
            "telephone_number": "708-726-6944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUZNICKI",
        "first_name": "LAUREN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-02",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.