Marek Rudnicki, M D

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036094616 Issued in IL

Practice address

3000 N Halsted St
Suite 603
Chicago, IL 60657-5190

Phone

(773) 296-3838

Fax

(773) 327-1718

NPI assigned

Jul 27, 2006

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

Other names 1

• Mrs. Bianka Noble Other name

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

Other, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Saint Anthony Health AffiliatesGroup PAC ID 1254321474, 95 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Saint Anthony Health Affiliates

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1881086064
  Medicare reassignment Care Compare group NPD
• Pathology Services Illinois, LTD

  • Anatomic Pathology & Clinical Pathology Physician
  • Chicago, IL
  • NPI 1013012939
  NPD
• Saint Anthony Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1912397480
  NPD
• Saint Anthony Health Affiliates

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1295757771
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280102400000",
    "number": "1801810338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N HALSTED ST",
            "address_2": "SUITE 603",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575190",
            "telephone_number": "773-296-3838",
            "fax_number": "773-327-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N HALSTED ST",
            "address_2": "SUITE 603",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575190",
            "telephone_number": "773-296-3838",
            "fax_number": "773-327-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDNICKI",
        "first_name": "MAREK",
        "name_prefix": "Mr.",
        "credential": "M D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2010-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036094616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036094616",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BIANKA",
            "last_name": "NOBLE",
            "prefix": "MRS.",
            "credential": "CPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brian Rudinsky, M.D.
• Avi Rudnick, LCSW
• David Andrew Rudnick, MD
• Lawrence A Rudnick, MD
• Catherine Rudnicki, DPT
• Rudolf Dreikurs Psychological Ser. Cen.
• Ladwina Denice Rudolph-Galan, LCPC
• Bailey Rudolph, MPH
• Bonnie Rudolph
• Jacob D Rudolph, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.