Individual provider Active NPI

Ewa Krzeminska

  • Vascular Sonography Radiologic Technologist
  • Winthrop Harbor, IL
National Provider Identifier
1790594281
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Sonography Radiologic TechnologistTaxonomy code 2471V0105X
License
188244 Issued in MD
Practice address
2413 11TH St
Winthrop Harbor, IL 60096-1512
Phone
(262) 661-6069
NPI assigned
Dec 30, 2024
Last updated
Dec 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Sonography Radiologic Technologist 2471V0105X 188244 MD Primary

Addresses

Primary practice location

2413 11TH St
Winthrop Harbor, IL 60096-1512

Mailing address

2413 11TH St
Winthrop Harbor, IL 60096-1512
Phone (262) 661-6069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
188244MDMDVascular Sonography Radiologic Technologist

NPI Registry JSON

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

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1790594281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 11TH ST",
            "city": "WINTHROP HARBOR",
            "state": "IL",
            "postal_code": "600961512",
            "telephone_number": "262-661-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 11TH ST",
            "city": "WINTHROP HARBOR",
            "state": "IL",
            "postal_code": "600961512",
            "telephone_number": "262-661-6069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRZEMINSKA",
        "first_name": "EWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "MD",
            "license": "188244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winthrop Harbor, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.