Kroczek Surgical Associates LTD.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036-074391 Issued in IL

Legal business name

KROCZEK SURGICAL ASSOCIATES LTD.

Practice address

7447 W Talcott Ave
Suite 221
Chicago, IL 60631-3745

Phone

(773) 763-1234

NPI assigned

Jul 16, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Maryniuk

Title

Billing Manager

Phone

(847) 770-6043

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342396800000",
    "number": "1891040838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE",
            "address_2": "SUITE 221",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313745",
            "telephone_number": "773-763-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE",
            "address_2": "SUITE 221",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313745",
            "telephone_number": "773-763-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KROCZEK SURGICAL ASSOCIATES LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-16",
        "last_updated": "2012-07-16",
        "status": "A",
        "authorized_official_last_name": "MARYNIUK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "847-770-6043",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": "036-074391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036074391",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oriana Krivenko, MD
• Petar Stoyanov Krivoshiyski
• Elizabeth Kriz, CRNA
• Katherine Grace Krob, APN, WHNP
• Jessica L Krock, MSW
• David J Krodel, M.D.
• Allison Ernt Kroeger, DPT
• Emily Kroening, M.D.
• Christine Krogmann, PHARMD
• Carol Krohm, MD

• Surgery Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; 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.