Active NPI
Tomasz Cwikla, M.D.
- Pediatrics Physician
- Orland Park, IL
National Provider Identifier
1992762645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036096768
- Practice address
- 15614 S Harlem Ave
Suite D
Orland Park, IL 60462-4402 - Phone
- (708) 444-0097
- Fax
- (708) 444-8252
- NPI assigned
- Apr 27, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036096768 | IL | Primary |
Addresses
Primary practice location
15614 S Harlem Ave
Suite D
Orland Park, IL 60462-4402
Mailing address
15614 S Harlem Ave
Suite D
Orland Park, IL 60462-4402
Phone (708) 444-0097
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036096768 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Med-Peds Specialists S.C. | Pediatrics | Current | Accepting new patients |
Locations
15614 S Harlem Ave
Ste D
Orland Park, IL 60462
Phone (708) 212-2212
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": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354752000000",
"number": "1992762645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15614 S HARLEM AVE",
"address_2": "SUITE D",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604624402",
"telephone_number": "708-444-0097",
"fax_number": "708-444-8252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15614 S HARLEM AVE",
"address_2": "SUITE D",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604624402",
"telephone_number": "708-444-0097",
"fax_number": "708-444-8252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CWIKLA",
"first_name": "TOMASZ",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2012-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036096768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.