Halina Bogucki

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160.008167 Issued in IL

Practice address

510 N Greenwood Ave
Park Ridge, IL 60068-3395

Phone

(163) 039-4642

NPI assigned

Jun 3, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1760121024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 N PITTSBURGH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606341944",
            "telephone_number": "708-668-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N GREENWOOD AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683395",
            "telephone_number": "163-039-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGUCKI",
        "first_name": "HALINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160.008167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Nicole Bochenek, MD
• Katarzyna Bochenska, M.D.
• Sarah Boer, LCSW
• Alice G Boghosian, D.D.S.
• Marko Bogicevic
• Bettina Barbara Bokiess
• Kathrine Mary Bokina, LCPC
• Erika Bokor, PH.D.
• Paul Richard Bolton, M.D.
• Esther Boltz, MD

• Physical Therapy Assistant in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.