Active NPI
Marcin Jungiewicz, D.O.
- Sports Medicine (Family Medicine) Physician
- Sycamore, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 036137479
- Practice address
- 1850 Gateway Dr Ste 103
Sycamore, IL 60178-3192 - Phone
- (815) 758-8671
- Fax
- (815) 756-4892
- NPI assigned
- Mar 30, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 34.015434 | OH | |
| Family Medicine Physician | 207Q00000X | 125059120 | IL | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 036137479 | IL | Primary |
Addresses
Primary practice location
1850 Gateway Dr Ste 103
Sycamore, IL 60178-3192
Mailing address
1850 Gateway Dr Ste 103
Sycamore, IL 60178-3192
Phone (815) 758-8671
Other practice location 1
21202 Owens Rd Ste 300
Mokena, IL 60448-2038
Phone (779) 334-0100
Other practice location 2
272 Hospital Rd
Chillicothe, OH 45601-9031
Phone (740) 779-4598
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036137479 | Other | IL | STATE LICENSE |
| 0464588 | Medicaid | OH |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mjungiewicz100943@direct.nch.org | ||
| Direct Messaging Address | adena.abjc@adena.medicity.net |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- Midwestern University, Chicago College of Osteopathic Med, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21202 Owens Rd
Suite 300
Mokena, IL 60448-2038
Phone (630) 933-4550
Hospital & facility affiliations
- Northwestern Medicine Kishwaukee Hospital
- Northwestern Medicine Central Dupage Hospital
- Northwestern Medicine Delnor Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.93 of 100
- Quality
- 64.42
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.2
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.63 of 100
- Quality
- 88.47
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125059120 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Dupage Physician Group | Family Medicine | Current | Accepting new patients |
| Central Dupage Physician Group | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Northwest Community Health Services Inc | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Northwest Community Health Services Inc | Family Medicine | Current | Accepting new patients |
Locations
1051 W Rand Rd
Arlington Hts, IL 60004
Phone (847) 221-4601
1450 Busch Pkwy
Buffalo Grove, IL 60089
Phone (847) 459-7860
15 S McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-6100
Carol Stream, IL 60122
Phone (630) 933-3300
Dept 5777
Carol Stream, IL 60122
25233 Network Pl
Chicago, IL 60673
298 Randall Rd
Geneva, IL 60134
Phone (630) 938-3300
21202 Owens Rd
Ste 300
Mokena, IL 60448
Phone (779) 334-0010
5999 New Wilke Rd
Ste 200
Rolling Meadows, IL 60008
Phone (847) 255-7107
1850 Gateway Dr
Ste 103
Sycamore, IL 60178
Phone (815) 758-8671
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
Interoperability endpoints
- mjungiewicz100943@direct.nch.org
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
-
- Internal Medicine Physician
- Arlington Heights, IL
- NPI 1134433154
Family Medicine
-
- Orthopaedic Surgery Physician
- Geneva, IL
- NPI 1780012344
-
- Obstetrics Physician
- Arlington Heights, IL
- NPI 1467057513
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
- General Acute Care Hospital
- Geneva, IL
- NPI 1407859655
-
- General Acute Care Hospital
- Dekalb, IL
- NPI 1669534517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771891200000",
"number": "1851680839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 GATEWAY DR STE 103",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "601783192",
"telephone_number": "815-758-8671",
"fax_number": "815-756-4892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 GATEWAY DR STE 103",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "601783192",
"telephone_number": "815-758-8671",
"fax_number": "815-756-4892"
}
],
"practiceLocations": [
{
"address_1": "21202 Owens Rd Ste 300",
"address_purpose": "LOCATION",
"city": "Mokena",
"state": "IL",
"postal_code": "604482038",
"country_code": "US",
"telephone_number": "779-334-0100",
"fax_number": "779-334-0051",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "272 Hospital Rd",
"address_purpose": "LOCATION",
"city": "Chillicothe",
"state": "OH",
"postal_code": "456019031",
"country_code": "US",
"telephone_number": "740-779-4598",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JUNGIEWICZ",
"first_name": "MARCIN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-30",
"last_updated": "2026-02-24",
"certification_date": "2026-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "OH",
"license": "34.015434",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "125059120",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "IL",
"license": "036137479",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "036137479",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0464588",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mjungiewicz100943@direct.nch.org",
"affiliation": "N",
"address_1": "15 S McHenry Rd",
"city": "Buffalo Grove",
"state": "IL",
"country_code": "US",
"postal_code": "600896705",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "adena.abjc@adena.medicity.net",
"affiliation": "N",
"address_1": "272 Hospital Rd",
"city": "Chillicothe",
"state": "OH",
"country_code": "US",
"postal_code": "456019031",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sycamore, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; 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.