Jaroslaw P Czarnkowski, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

36117454 Issued in IL

Practice address

912 S Wood St
MC 913
Chicago, IL 60612-4300

Phone

(312) 996-2200

Fax

(312) 996-3614

NPI assigned

Jan 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Board of Trustees of the University of Illinois

  • Occupational Medicine Physician
  • Chicago, IL
  • NPI 1043727571
  NPD (past)
• The McGrath Clinic

  • Psychiatric Hospital Unit
  • Orland Park, IL
  • NPI 1265585400
  NPD (past)
• The McGrath Clinic S C

  • Mental Health Counselor
  • Orland Park, IL
  • NPI 1952452971
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271376000000",
    "number": "1770636201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 S WOOD ST",
            "address_2": "MC 913",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124300",
            "telephone_number": "312-996-2200",
            "fax_number": "312-996-3614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 S WOOD ST",
            "address_2": "MC 913",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124300",
            "telephone_number": "312-996-2200",
            "fax_number": "312-996-3614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZARNKOWSKI",
        "first_name": "JAROSLAW",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2010-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "36117454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "36117454",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Thomas Czapka, MD
• John Czapkowicz
• Tara Czapla, IBCLC
• Alec Michael Czaplicki
• Evelia Czarnik, LPC
• Alan Benjiman Czarnopol
• Kim Czarnopys, LCSW
• Daniel Czarnowski, MS
• Donna C Czech
• Kimberly A Czech, MD

• Psychiatry Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; 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.