Individual provider Active NPI

Karolina Zofia Kowalczyk, FNP

  • Family Nurse Practitioner
  • Oak Park, IL
National Provider Identifier
1982462206
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209027550 Issued in IL
Practice address
327 S Humphrey Ave
Oak Park, IL 60302-3527
Phone
(773) 879-5311
NPI assigned
Mar 11, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209027550 IL Primary

Addresses

Primary practice location

327 S Humphrey Ave
Oak Park, IL 60302-3527

Mailing address

7416 S County Line Rd Ste a
Burr Ridge, IL 60527-7961
Phone (630) 655-3204

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

LicenseStateTypeSpecialty
209027550ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Caregivers, Inc. CurrentSince Mar 17, 2024 Accepting new patients

Locations

7416 S County Line Rd
Ste A
Burr Ridge, IL 60527
Phone (630) 655-3204

Organizations & group practices 1

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": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1982462206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7416 S COUNTY LINE RD STE A",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605277961",
            "telephone_number": "630-655-3204",
            "fax_number": "630-786-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 S HUMPHREY AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603023527",
            "telephone_number": "773-879-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALCZYK",
        "first_name": "KAROLINA",
        "middle_name": "ZOFIA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209027550",
            "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 Mar 11, 2024; 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.