Millennium Surgical, Inc

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

License

021002267 Issued in IL

Legal business name

MILLENNIUM SURGICAL, INC

Practice address

5978 S Archer Ave
Chicago, IL 60638-2817

Phone

(773) 838-8855

Fax

(773) 796-3223

NPI assigned

Sep 26, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Bartlomiej Lech Nierzwicki, MD, DMD, PHD, FACSNPI 1538104500

Title

Owner

Phone

(773) 838-8855

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bartlomiej Lech Nierzwicki, MD, DMD, PHD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Chicago, IL
  • NPI 1538104500
  NPD (past) Authorized official

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1962753210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5978 S ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382817",
            "telephone_number": "773-838-8855",
            "fax_number": "773-796-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5978 S ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382817",
            "telephone_number": "773-838-8855",
            "fax_number": "773-796-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM SURGICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "NIERZWICKI",
        "authorized_official_first_name": "BARTLOMIEJ",
        "authorized_official_middle_name": "LECH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-838-8855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, DMD, PHD, FACS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "021002267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Millennium Medical Group, LLC
• Millennium Park Dermatology, S.C.
• Millennium Park Medical Associates, S.C.
• Millennium Park Psychological Associates, LLC
• Millennium Park Smiles, LLC
• Millenova
• Andrea M Miller Finch, D.D.S.
• Elizabeth Miller Robbins, PSY.D.
• Megan Miller-Attang, LCSW
• Zoe A Miller-Lee

• Oral and Maxillofacial Surgery Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.