Paul Ustrzynski, R.N.

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

041377360 Issued in IL

Practice address

936 Cortney Dr
Carpentersville, IL 60110-3109

Phone

(773) 614-3400

NPI assigned

Oct 28, 2010

Last updated

Oct 28, 2010By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288224000000",
    "number": "1851691513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 CORTNEY DR",
            "city": "CARPENTERSVILLE",
            "state": "IL",
            "postal_code": "601103109",
            "telephone_number": "773-614-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 CORTNEY DR",
            "city": "CARPENTERSVILLE",
            "state": "IL",
            "postal_code": "601103109",
            "telephone_number": "773-614-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "USTRZYNSKI",
        "first_name": "PAUL",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-28",
        "last_updated": "2010-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "IL",
            "license": "041377360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical-Surgical Registered Nurse in Carpentersville, IL
• Providers in Carpentersville, IL by specialty
• Medical-Surgical Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.