Individual provider Active NPI

Paulina Maria Cygan

  • Medical Physician Assistant
  • Addison, IL
National Provider Identifier
1881382943
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
1111 W Lake St
Addison, IL 60101-1101
Phone
(630) 628-1811
NPI assigned
Apr 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

1111 W Lake St
Addison, IL 60101-1101

Mailing address

680 Harasek St
Lemont, IL 60439-4374

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231023000043 IL Practitioner - Physician Assistant 3476909821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Community Health NetworkGroup PAC ID 9537076112, 182 clinicians

Practice addresses (Care Compare)

1111 N Lake St
Chicago, IL 60101-1101
Phone (630) 628-1811

245 S Gary Ave
Suite 200
Bloomingdale, IL 60108-2218
Phone (630) 893-5230

245 S Gary Ave LL
Martin T Russo
Bloomingdale, IL 60108-2228
Phone (630) 893-5230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Access Community Health Network CurrentSince Sep 11, 2023 Accepting new patients
Access Community Health Network CurrentSince Sep 11, 2023 Accepting new patients
Access Community Health Network Past Accepting new patients

Locations

1111 W Lake St
Addison, IL 60101
Phone (630) 628-1811

245 S Gary Ave
Ste 200
Bloomingdale, IL 60108
Phone (630) 893-5230

600 W Fulton St
Ste 200
Chicago, IL 60661
Phone (312) 526-2000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1881382943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 HARASEK ST",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604394374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W LAKE ST",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601011101",
            "telephone_number": "630-628-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CYGAN",
        "first_name": "PAULINA",
        "middle_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, IL

Sources for this page

Verify at the official NPI Registry.