DR. WALT JOHN BAJGROWICZ (NPI# 1780623405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780623405 |
| Entity Type | Individual |
| Full Name | DR. WALT JOHN BAJGROWICZ |
| Credential | M.D. |
| Practice Address |
9977 Woods Dr Skokie IL 60077-1057 |
| Mailing Address |
2650 Ridge Ave Evanston Hospital Rm 1223 Evanston IL 60201-1718 |
| Practice Telephone | 8476638420 |
| Practice Fax Number | 8476631018 |
| Mailing Telephone | 8475401206 |
| Mailing Fax Number | 8475701248 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
550570 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
9977 WOODS DR |
| City | SKOKIE |
| State | IL |
| Zip Code | 60077-1057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003891987 | Michael Perry Rosenbaum | Pediatrics | 9977 Woods Dr, Skokie, IL 60077-1057 | 2005-12-13 |
| 1255938726 | Laura June Prestidge | Nurse Practitioner | 9977 Woods Dr, Skokie, IL 60077-1057 | 2020-10-07 |
| 1376150722 | Alaminah Said | Nurse Practitioner | 9977 Woods Dr, Skokie, IL 60077-1057 | 2020-09-29 |
| 1922618313 | Heather R Siddons | Nurse Practitioner | 9977 Woods Dr, Skokie, IL 60077-1057 | 2020-07-31 |
| 1366071797 | Kelly Hundman | Registered Nurse | 9977 Woods Dr, Skokie, IL 60077-1057 | 2020-04-07 |
| 1346888989 | Annie Zupan | Physician Assistant | 9977 Woods Dr, Skokie, IL 60077-1057 | 2019-12-13 |
| 1699310979 | Rachel Sarmiento | Nurse Practitioner | 9977 Woods Dr, Skokie, IL 60077-1057 | 2019-11-11 |
| 1447801998 | Giselle Martinez-o'connor | Nurse Practitioner | 9977 Woods Dr, Skokie, IL 60077 | 2019-09-26 |
| 1376193904 | Eva Schwartz | Nurse Practitioner | 9977 Woods Dr, Skokie, IL 60077-1057 | 2019-09-16 |
| 1174173009 | Ross Thaler Compton | Nurse Practitioner | 9977 Woods Dr, Skokie, IL 60077 | 2019-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835347 | Tharani Theivakumar | Dentist | 5225 W. Touhy Ave, Skokie, IL 60077 | 2019-08-09 |
| 1780179838 | Total Renal Care Inc | Clinic/Center | 8950 Gross Point Rd Ste 300, Skokie, IL 60077 | 2018-06-29 |
| 1811481070 | Joseph Rubin | Counselor | 7929 Lincoln Ave Ste 202, Skokie, IL 60077 | 2018-06-20 |
| 1245721067 | Lipnick Orthopaedics S.c. | Orthopaedic Surgery | 4856 Oakton Street, Skokie, IL 60077 | 2018-05-29 |
| 1376034991 | Karen Bradley | Nurse Practitioner | 5143 Coyle Ave, Skokie, IL 60077 | 2018-05-21 |
| 1093217036 | Arnold Arellano | Pedorthist | 5202 Old Orchard Road, N100, Skokie, IL 60077 | 2018-03-06 |
| 1043722408 | Carolyn Mary Jarozewski I | Registered Nurse | 5250 N.old Orchard Road Suite 300, 5250 N.old Orchard Road Suite 300, Skokie, IL 60077 | 2017-10-25 |
| 1841718400 | Katie Kluga | Nurse Practitioner | 9977 Woods Drive Suite 300, Skokie, IL 60077 | 2017-09-05 |
| 1265950091 | Larry Asher Sidel | Counselor | 9530 Lamon Pl.apt 110, Skokie, IL 60077 | 2017-08-31 |
| 1578088639 | Eleni Toumplis | Pharmacist | 4955 Dempster St, Skokie, IL 60077 | 2017-08-10 |
| Find all providers in zip 60077 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841703584 | Home Physicians of Illinois LLC | Family Medicine | 10027 Frontage Rd, Skokie, IL 60077-1033 | 2017-11-15 |
| 1215305842 | Ijv Home Visits LLC | Family Medicine | 5250 Old Orchard Rd, Apt 1501, Skokie, IL 60077-4460 | 2015-09-14 |
| 1316986599 | Richard P Gaskill | Family Medicine | 9977 Woods Dr, Skokie, IL 60077-1057 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811425 | Devon Homecare Physicians Inc. | Family Medicine | 2822 W. Granville Ave. Apt 1, Chicago, IL 60659 | 2020-11-03 |
| 1659915171 | Amanda Marie Wilderman | Family Medicine | 1268 Cole Place Rd, Chester, IL 62233-2054 | 2019-10-29 |
| 1699277038 | Eileen A Solis | Family Medicine | 1795 Grandstand Pl Ste 2, Elgin, IL 60123-4980 | 2018-03-01 |
| 1770953986 | Mrs Integrative Medicine LLC | Family Medicine | 3s630 Glen Dr S, Warrenville, IL 60555-3506 | 2015-09-30 |
| 1447666318 | M & F Medical Services, Ltd | Family Medicine | 5642 N Christiana Ave, Chicago, IL 60659-4555 | 2014-07-10 |
| 1457767774 | Rambha Radhakrishnan | Family Medicine | 2645 W Peterson Ave, Chicago, IL 60659-4017 | 2014-07-08 |
| 1851733133 | Pyramids Advisors, Inc. | Family Medicine | 6427 Dempster St, Morton Grove, IL 60053-2604 | 2013-07-26 |
| 1558707075 | Jean M. Pouget | Family Medicine | 175 Northgate Rd, Riverside, Riverside, IL 60546-1683 | 2013-05-13 |
| 1629411806 | Rahman Fazil Mohammed Abdul | Family Medicine | 9011 W Ballard Rd Apt 1a, Des Plaines, IL 60016-4987 | 2013-04-08 |
| 1730425851 | Fountain Healthcare Limited Liability Company | Family Medicine | 1639 N 1590th Rd, Streator, IL 61364-9644 | 2012-12-18 |
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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.