Borys Sumyk, M.D., S.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036065996 Issued in IL

Legal business name

BORYS SUMYK, M.D., S.C.

Practice address

1225 West Lake Street
Westlake Hospital
Melrose Park, IL 60160

Phone

(708) 452-6539

Fax

(708) 452-2158

NPI assigned

Jul 16, 2006

Last updated

Apr 9, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Borys Sumyk, M.D.

Title

President

Phone

(708) 452-6539

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239235200000",
    "number": "1851318703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388320",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606388320",
            "telephone_number": "708-452-6539",
            "fax_number": "708-452-2158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 WEST LAKE STREET",
            "address_2": "WESTLAKE HOSPITAL",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "60160",
            "telephone_number": "708-452-6539",
            "fax_number": "708-452-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORYS SUMYK, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2009-04-09",
        "status": "A",
        "authorized_official_last_name": "SUMYK",
        "authorized_official_first_name": "BORYS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-452-6539",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036065996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "01617523",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110018587",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036065996",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; 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.