Elizabeth Stella Podczerwinski, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

125058202 Issued in IL

Practice address

836 W Wellington Ave
Room 4807
Chicago, IL 60657-5147

Phone

(773) 296-7093

NPI assigned

May 25, 2010

Last updated

Jun 9, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Metropolitan Group Hospitals

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1598916439
  NPD (past)
• Metropolitan Group Hospitals

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1912159310
  NPD (past)

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276041600000",
    "number": "1841519238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 W WELLINGTON AVE",
            "address_2": "ROOM 4807",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 W WELLINGTON AVE",
            "address_2": "ROOM 4807",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575147",
            "telephone_number": "773-296-7093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODCZERWINSKI",
        "first_name": "ELIZABETH",
        "middle_name": "STELLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-25",
        "last_updated": "2010-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "125058202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Pocknell, PH.D.
• Karina Pocrnic, OD
• Marta M Pocurull-Stein
• Ashley J Poczekaj, DPT
• Natalie J. Podboy, PA-C
• Aastha Poddar
• Shreya Podder, MD
• Jaime Podgorny, MA, LPC
• Podiatric Management Systems LLC (Professional Foot Care Specialists)
• Podiatric Management Systems LLC (Bridgeport Footcare)

• 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 Jun 9, 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.