Active NPI
Viktor Tabatchyk, S.A.
- Surgical Technologist
- Oak Park, IL
National Provider Identifier
1972942258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Technologist
- License
- 238000161
- Practice address
- 109 Frank Lloyd Wright LN
Oak Park, IL 60302-2644 - Phone
- (312) 731-5540
- NPI assigned
- Jun 19, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | 238000161 | IL | Primary |
Addresses
Primary practice location
109 Frank Lloyd Wright LN
Oak Park, IL 60302-2644
Mailing address
109 Frank Lloyd Wright LN
Oak Park, IL 60302-2644
Phone (312) 731-5540
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 238000161 | IL | MD | Surgical Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371600000000",
"number": "1972942258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 FRANK LLOYD WRIGHT LN",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603022644",
"telephone_number": "312-731-5540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 FRANK LLOYD WRIGHT LN",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603022644",
"telephone_number": "312-731-5540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TABATCHYK",
"first_name": "VIKTOR",
"credential": "S.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-19",
"last_updated": "2013-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": "IL",
"license": "238000161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.