DR. JERZY FELIKS ZADECKI (NPI# 1215033790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215033790 |
| Entity Type | Individual |
| Full Name | DR. JERZY FELIKS ZADECKI |
| Credential | M.D. |
| Practice Address |
930 Mapleton Ave Oak Park IL 60302-1404 |
| Practice Telephone | 7082028387 |
| Practice Fax Number | 7082022108 |
| Mailing Telephone | 7082028387 |
| Mailing Fax Number | 7082022108 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | IL | Other Service Providers |
| Street Address |
930 MAPLETON AVE |
| City | OAK PARK |
| State | IL |
| Zip Code | 60302-1404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306473244 | Tasha Kimberly Young | Counselor | 1216 N Austin Bvld, Oak Park, IL 60302 | 2020-03-23 |
| 1306492186 | Camiesa Rashida Rogers | Pharmacy Technician | 626 N Austin #7, Oak Park, IL 60302 | 2019-08-16 |
| 1326603887 | Right Choice Therapy LLC | Social Worker | 428 S. Scoville Avenue, Rear 1b, Oak Park, IL 60302 | 2019-05-09 |
| 1407328941 | Arundathi Bannur Suresh | Occupational Therapist | 3 Erie Court, West Suburban Medical Center, Oak Park, IL 60302 | 2018-12-21 |
| 1427537455 | Shannon Vogel | Occupational Therapist | 405 Home Ave Apt 207, Oak Park, IL 60302 | 2018-08-10 |
| 1568958726 | Loretto Hospital | Clinic/Center | 1000 Madison St, Oak Park, IL 60302 | 2018-07-10 |
| 1649783143 | Mary Joyce Arenas Lagatao | Nurse Practitioner | 101 Madison St, 3rd Floor, Oak Park, IL 60302 | 2017-11-07 |
| 1427578251 | Amanda Lam | Behavior Technician | 721 South Blvd., Suite 210, Oak Park, IL 60302 | 2017-06-22 |
| 1649790577 | Samantha Lotti | Acupuncturist | 1119 Pleasant St, Oak Park, IL 60302 | 2017-06-21 |
| 1770010480 | Robert Smith IIi | Behavior Technician | 412a S. Taylor Ave, Oak Park, IL 60302 | 2017-05-12 |
| Find all providers in zip 60302 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669869764 | Benjamin Pittman | Military Health Care Provider | Uss Tranquility (bhc 1007), Capt James A Lovell Federal Health Care Center, North Chicago, IL 60064 | 2015-04-16 |
| 1346638566 | Brandon C. Wagenaar | Military Health Care Provider | 1245 S Michigan Ave Ste 215, Chicago, IL 60605-2408 | 2014-12-23 |
| 1235430737 | Megan Elizabeth Schelp | Military Health Care Provider | 5820 N Kenmore Ave, Apartment 404, Chicago, IL 60660-3765 | 2010-11-15 |
| 1932434339 | Tasha Oakley | Military Health Care Provider | 104 Kenwood Ct Apt 1, Normal, IL 61761-4707 | 2009-10-02 |
| 1861512501 | Leigh Karole Grannan | Military Health Care Provider | 625 Wham Dr - Mailcode 6607, Center for Autism Spectrum Disorders, Carbondale, IL 62901-4313 | 2007-03-29 |
| 1073575692 | Teresita Hernandez Huang | Military Health Care Provider | 3450 Riverside Dr, Wilmette, IL 60091-1062 | 2006-04-06 |
| 1144281882 | Luningning Gayapa Madamba | Military Health Care Provider | 5332 N Kildare Ave, Chicago, IL 60630-1759 | 2006-03-31 |
| 1154380947 | Eden U Padilla | Military Health Care Provider | Uss Red Rover, Recruit Training Center, Great Lakes, IL 60088 | 2006-03-21 |
| 1225439045 | Erin O'connor | Military Health Care Provider | 310 W Losey St, Scott Air Force Base, IL 62225-5250 | 2014-09-11 |
| 1376704783 | Richard Neal Craig | Military Health Care Provider | 2401 W Main St, Va Medical Center, Marion, IL 62959-1188 | 2008-06-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.