Individual provider Active NPI

Maciej H Niedorezo, MFA

  • Interpreter
  • Morton Grove, IL
National Provider Identifier
1912224668
Registry record updated Apr 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
InterpreterTaxonomy code 171R00000X
Practice address
7659 Greenwood St
Morton Grove, IL 60053-1836
Phone
(847) 909-8684
Fax
(847) 581-0212
NPI assigned
Apr 21, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interpreter 171R00000X Primary

Addresses

Primary practice location

7659 Greenwood St
Morton Grove, IL 60053-1836

Mailing address

7659 Greenwood St
Morton Grove, IL 60053-1836
Phone (847) 909-8684

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Fine Arts

NPI Registry JSON

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271808000000",
    "number": "1912224668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7659 GREENWOOD ST",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600531836",
            "telephone_number": "847-909-8684",
            "fax_number": "847-581-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7659 GREENWOOD ST",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600531836",
            "telephone_number": "847-909-8684",
            "fax_number": "847-581-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEDOREZO",
        "first_name": "MACIEJ",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "MFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-21",
        "last_updated": "2010-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171R00000X",
            "taxonomy_group": "",
            "desc": "Interpreter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morton Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.