Active NPI
Helena Podgorska, MD
- Family Medicine Physician
- Norridge, IL
National Provider Identifier
1871674267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036089056
- Practice address
- 4900 N Cumberland Ave
Norridge, IL 60706-2916 - Phone
- (708) 456-1600
- Fax
- (708) 456-2809
- NPI assigned
- Oct 18, 2006
- Last updated
- Apr 6, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036089056 | IL | Primary |
Addresses
Primary practice location
4900 N Cumberland Ave
Norridge, IL 60706-2916
Mailing address
4900 N Cumberland Ave
Norridge, IL 60706-2916
Phone (708) 456-1600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036089056 | Medicaid | IL | |
| 1619414 | Other | BCBS GROUP |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036089056 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resurrection Services | Past | Accepting new patients | |
| Fastrac Medical, P.C. | Past | Accepting new patients | |
| Resurrection Services | Past | Accepting new patients | |
| Presence Healthcare Services | Family Medicine | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urgent Care Clinic/Center
- Chicago, IL
- NPI 1205814118
-
dba WellNow Urgent Care
- Urgent Care Clinic/Center
- Liverpool, NY
- NPI 1669825162
IL
-
- Emergency Medicine Physician
- Joliet, IL
- NPI 1659517597
-
dba Presence Medical Group
- Multi-Specialty Clinic/Center
- Elk Grove Village, IL
- NPI 1932216819
Family Medicine
-
dba RES-Health Advanced Imaging Center
- Radiology Clinic/Center
- River Forest, IL
- NPI 1104940329
-
dba Resurrection Immediate Care Center Des Plaines
- Multi-Specialty Clinic/Center
- Des Plaines, IL
- NPI 1710907456
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238976000000",
"number": "1871674267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 N CUMBERLAND AVE",
"city": "NORRIDGE",
"state": "IL",
"postal_code": "607062916",
"telephone_number": "708-456-1600",
"fax_number": "708-456-2809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 N CUMBERLAND AVE",
"city": "NORRIDGE",
"state": "IL",
"postal_code": "607062916",
"telephone_number": "708-456-1600",
"fax_number": "708-456-2809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PODGORSKA",
"first_name": "HELENA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2009-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036089056",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036089056",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "1619414",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; 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.