Individual provider Active NPI

Miroslaw Owczarek, M.D.

  • Anesthesiology Physician
  • Chicago, IL
National Provider Identifier
1871609859
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
36103671 Issued in IL
Practice address
8420 W Bryn Mawr Ave Ste 300
Chicago, IL 60631-3436
Phone
(773) 756-5780
NPI assigned
Aug 22, 2006
Last updated
Mar 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 36103671 IL Primary

Addresses

Primary practice location

8420 W Bryn Mawr Ave Ste 300
Chicago, IL 60631-3436

Mailing address

PO Box 443
Bedford Park, IL 60499-0443
Phone (708) 831-8282

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050318000463 IL Practitioner - Anesthesiology 3779538194

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1775 Dempster St
Park Ridge, IL 60068-1174

255 W Michigan Ave
PO Box 1123
Jackson, MI 49204-1123

8420 W Bryn Mawr Ave
Suite 300
Chicago, IL 60631-3436

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36103671ILMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Shockwave Services, LTD. CurrentSince Feb 26, 2010 Accepting new patients
Mobile Anesthesiologists Chicago LLC Anesthesiology CurrentSince Jun 27, 2022 Accepting new patients
United Shockwave Services, LTD. Anesthesiology CurrentSince Feb 26, 2010 Accepting new patients
West Central Anesthesiology Group LTD Anesthesiology Past Accepting new patients

Locations

8420 W Bryn Mawr Ave
Ste 300
Chicago, IL 60631
Phone (773) 756-5760

40 S Clay St
Hinsdale, IL 60521
Phone (630) 323-4202

1243 Rickert Dr
Naperville, IL 60540
Phone (630) 303-5650

1775 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-5150

1875 W Dempster St
Ste G04
Park Ridge, IL 60068
Phone (630) 684-9361

9550 W Higgins Rd
Ste 1100
Rosemont, IL 60018
Phone (773) 756-5760

8930 Gross Point Rd
Ste 700
Skokie, IL 60077
Phone (847) 966-8930

6701 159th St
Tinley Park, IL 60477
Phone (708) 429-0222

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1871609859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 443",
            "city": "BEDFORD PARK",
            "state": "IL",
            "postal_code": "604990443",
            "telephone_number": "708-831-8282",
            "fax_number": "773-714-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8420 W BRYN MAWR AVE STE 300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313436",
            "telephone_number": "773-756-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWCZAREK",
        "first_name": "MIROSLAW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "36103671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.