DR. MICHAEL A. WILCZYNSKI (NPI# 1750344768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750344768 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL A. WILCZYNSKI |
| Credential | M.D. |
| Practice Address |
1 Ingalls Dr Harvey IL 60426-3558 |
| Mailing Address |
Po Box 1886 Harvey IL 60426-7886 |
| Practice Telephone | 7083317800 |
| Practice Fax Number | 7083390695 |
| Mailing Telephone | 7083317800 |
| Mailing Fax Number | 7083390695 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2014-11-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
036075394 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036075394 | 05 |
| Street Address |
1 INGALLS DR |
| City | HARVEY |
| State | IL |
| Zip Code | 60426-3558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245239789 | Lisa M. Bibb | Pathology | 1 Ingalls Dr, Pathology Department, Harvey, IL 60426-3558 | 2005-07-18 |
| 1306453501 | Nicole Stephen | Pharmacist | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2020-09-30 |
| 1730704958 | Emily Limberg | Pharmacist | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2020-06-12 |
| 1215566781 | Willie C Harmon Sr. | Psychologist | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2020-04-06 |
| 1356988216 | La Vera Nelson | Nurse Practitioner | 1 Ingalls Dr, Harvey, IL 60426-3591 | 2019-12-10 |
| 1679037451 | Bernice Lynette Mclaurin | Pharmacist | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2019-01-26 |
| 1720579493 | Eugenia V Whalen-robinson | Social Worker | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2018-05-29 |
| 1972010718 | Lindsay Syring | Physician Assistant | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2018-01-02 |
| 1225549447 | Kimberly Wessendorf | Nurse Practitioner | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2017-10-15 |
| 1063921799 | Reda Kubilius | Nurse Practitioner | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2017-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295377471 | Carol E Gillett | Technician | 14607 Jefferson St., Harvey, IL 60426 | 2019-10-09 |
| 1356866479 | Zzm Investments Inc | Non-emergency Medical Transport (VAN) | 16429 Halsted St, Harvey, IL 60426 | 2017-08-09 |
| 1639628225 | Scottlab, Ltd. | Clinical Medical Laboratory | 71 W 156th St Ste 206a, Harvey, IL 60426 | 2016-09-24 |
| 1043608631 | Yvette M. Johnson | Nurse Practitioner | 31 W. 155th Street, Harvey, IL 60426 | 2015-01-05 |
| 1558665539 | Phillip T Robinson | Contractor | 16001 Marshfield St, Harvey, IL 60426 | 2011-01-05 |
| 1669657466 | South Shore Behavioral Consultants | Counselor | 369 East 147th Street Suite E, Harvey, IL 60426 | 2007-12-31 |
| 1770784670 | County of Cook Harvey Public School District 152 | Local Education Agency (LEA) | 152nd Myrtle St, Harvey, IL 60426 | 2007-05-29 |
| 1518180678 | Associated Medical Center Sc | Family Medicine | 15900 So Carol Avenue, Harvey, IL 60426 | 2007-04-10 |
| 1336269133 | Cook County | Clinic/Center | 650 E Phoenix Center Dr, Phoenix, IL 60426 | 2007-03-29 |
| 1932243433 | Michael T Jones Dmd Ltd | Dentist | 15335 Page Ave, Harvey, IL 60426 | 2007-02-16 |
| Find all providers in zip 60426 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710093760 | Kimberly Joy Keller | Radiology | 1405 Spanish Oaks Dr, Harvey, LA 70058-3054 | 2006-08-22 |
| 1326022161 | Beck A Hur | Radiology | 71 W 156th St Ste 110, Harvey, IL 60426-4267 | 2005-12-05 |
| 1023332814 | Raj Chinnappan | Radiology | 71 W 156th St, Suite 110, Harvey, IL 60426-4260 | 2010-03-23 |
| 1770746711 | Paul Mullarkey | Radiology | 71 W 156th St, Suite 110, Harvey, IL 60426-4260 | 2008-07-09 |
| 1619160082 | Ritesh Darji | Radiology | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2007-08-20 |
| 1124234430 | Arlene Jamelle Richardson | Radiology | 71 W 156th St Ste 110, Harvey, IL 60426-4267 | 2007-05-15 |
| 1861605602 | David Philip Ison | Radiology | 71 W 156th St, Suite 110, Harvey, IL 60426-4260 | 2007-05-08 |
| 1639115447 | Louisville Radiology Imaging Consultants, Pllc | Radiology | 71 W 156th St, Suite 110, Harvey, IL 60426-4260 | 2006-06-21 |
| 1093778151 | William J. Burns | Radiology | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2006-04-10 |
| 1124081161 | Kent C. Webb | Radiology | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2006-04-10 |
| Find all providers in HARVEY | ||||
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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.