Mary Katheryn Aukstik, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

085003587 Issued in IL

Practice address

2211 N Oak Park Ave
Chicago, IL 60707

Phone

(773) 622-5400

NPI assigned

Mar 7, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Endeavor Health Medical Group

  • Emergency Medicine Physician
  • Evanston, IL
  • NPI 1497701882

  IL

  Medicare reassignment
• Shriners Hospitals for Children

  • Pediatric Orthopaedic Surgery Physician
  • Chicago, IL
  • NPI 1871930693

  IL

  Medicare reassignment
• Endeavor Health Medical Group

  • Anesthesiology Physician
  • Evanston, IL
  • NPI 1265695944
  NPD
• Shriners Hospitals for Children

  • Orthopaedic Surgery Physician
  • Philadelphia, PA
  • NPI 1275271462
  NPD
• Shriners Hospitals for Children

  • Clinic/Center
  • Aiea, HI
  • NPI 1568299857
  NPD
• Gibson Community Hospital Association

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)
• Midwest Orthopaedics at Rush, LLC

  • Orthopaedic Surgery Physician
  • Chicago, IL
  • NPI 1811942451
  NPD (past)
• Prorehab PC

  • Physical Therapist
  • Oak Brook, IL
  • NPI 1538119409
  NPD (past)
• Shriners Hospitals for Children

  • Orthopaedic Surgery Physician
  • Lexington, KY
  • NPI 1700223559
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1851421820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 N OAK PARK AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "607073351",
            "telephone_number": "773-622-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 N OAK PARK AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60707",
            "telephone_number": "773-622-5400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2650 Ridge Ave Ste 2508",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602011700",
            "country_code": "US",
            "telephone_number": "847-570-2959",
            "fax_number": "847-733-5385",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1611 W Harrison",
            "address_2": "Ste 400",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606074529",
            "country_code": "US",
            "telephone_number": "312-243-4244",
            "fax_number": "312-942-1517",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9600 Gross Point Rd",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "60076",
            "country_code": "US",
            "telephone_number": "847-933-6560",
            "fax_number": "847-675-3930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9600 Gross Point Rd",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "60076",
            "country_code": "US",
            "telephone_number": "847-933-6560",
            "fax_number": "847-675-3930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9600 Gross Point Rd",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "60076",
            "country_code": "US",
            "telephone_number": "847-933-6560",
            "fax_number": "847-675-3930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUKSTIK",
        "first_name": "MARY",
        "middle_name": "KATHERYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070014405",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085003587",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IL",
            "license": "085003587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krzysztof Augustyn, DDS
• Edel Auh, MD
• Aujah Way LLC
• Brianna Aukland
• Danielle Aukstik
• Katherine Kristjanson Aulis, MD
• Michael Ault, MD
• Nicole Auman
• Dion Aumell, DPT
• Aunt Martha'S Health and Wellness, Inc.

• All providers in Chicago, IL
• Surgical Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.