MR. MACIEJ STANCZAK (NPI# 1184134777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184134777 |
| Entity Type | Individual |
| Full Name | MR. MACIEJ STANCZAK |
| Credential | PA-C |
| Practice Address |
333 Madison St Joliet IL 60435-8200 |
| Mailing Address |
25637 W Route 30 Plainfield IL 60585-9780 |
| Practice Telephone | 8157257133 |
| Mailing Telephone | 6308903681 |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2017-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
333 MADISON ST |
| City | JOLIET |
| State | IL |
| Zip Code | 60435-8200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497753917 | Prairie Emergency Services, Sc | Emergency Medicine | 333 Madison St, Joliet, IL 60435-8200 | 2005-07-08 |
| 1689272478 | Gwenna Carie | Registered Nurse | 333 Madison St, Joliet, IL 60435-8200 | 2020-10-14 |
| 1457974446 | Michael S Greco | Occupational Therapist | 333 Madison St, Joliet, IL 60435-8200 | 2020-05-25 |
| 1427690700 | Schuyler A Perez De Salmeron | Clinical Nurse Specialist | 333 Madison St, Joliet, IL 60435-8200 | 2019-10-08 |
| 1982255139 | Carly Nicole Giacomo | Physician Assistant | 333 Madison St, Joliet, IL 60435-8200 | 2019-09-27 |
| 1194378984 | Cara Murphy | Nurse Anesthetist, Certified Registered | 333 Madison St, Joliet, IL 60435-8200 | 2019-07-20 |
| 1013474402 | Kristin Upp | Physical Therapy Assistant | 333 Madison St, Joliet, IL 60435-8200 | 2019-02-21 |
| 1235603713 | Jennifer M Alamillo | Nurse Practitioner | 333 Madison St, Joliet, IL 60435-8200 | 2019-01-17 |
| 1780155325 | Neurocyst Incorporated | Surgery | 333 Madison St, Joliet, IL 60435-8200 | 2018-12-07 |
| 1245715127 | Susan Jayne Opacian | Registered Nurse | 333 Madison St, Joliet, IL 60435-8200 | 2018-09-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| Find all providers in zip 60435 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679800866 | Andrew Bramer | Physician Assistant | 3100 Theodore St, Suite 204, Joliet, IL 60435-8534 | 2009-11-09 |
| 1932335627 | Poornima Anil Panjwani | Physician Assistant | 301 Madison St Ste 305, Joliet, IL 60435-6655 | 2009-06-08 |
| 1194973768 | Kenneth Park | Physician Assistant | 1300 Copperfield Ave Ste 3060, Joliet, IL 60432-2009 | 2008-09-08 |
| 1841252426 | Laurel Melissa Poole | Physician Assistant | 1124 Essington Rd, Joliet, IL 60435-8423 | 2006-04-06 |
| 1821166505 | Teryn Elizabeth Honeycutt | Physician Assistant | 1124 Essington Rd, Joliet, IL 60435-8446 | 2006-12-01 |
| 1629152061 | Jeanmarie Richards | Physician Assistant | 72 N Chicago St, Joliet, IL 60432-4315 | 2006-10-24 |
| 1871682294 | Jeff Michael Aguilar | Physician Assistant | 1100 Houbolt Rd, Joliet, IL 60431-9063 | 2006-10-12 |
| 1992800270 | Meredith Mykel Cirrincione | Physician Assistant | 1051 Essington Rd, Suite 140, Joliet, IL 60435-2801 | 2006-09-13 |
| 1396855565 | Danielle Elizabeth Kwong | Physician Assistant | 310 N Hammes Ave, Ste 202, Joliet, IL 60435-8118 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707298 | Eliza Ballen | Physician Assistant | 335 Sylvan Rd, Lake Bluff, IL 60044-2562 | 2020-07-21 |
| 1477177947 | Rybecca Janovyak | Physician Assistant | 14432 High Rd, Lockport, IL 60441-9402 | 2020-06-01 |
| 1518591759 | Julie Jenkot | Physician Assistant | 333 N Michigan Ave Fl 14, Chicago, IL 60601-3901 | 2020-02-26 |
| 1801429873 | Hinjal D Jha | Physician Assistant | 22285 N Pepper Rd Ste 409, Lake Barrington, IL 60010-2542 | 2020-02-19 |
| 1770120222 | Alvina Shaikh | Physician Assistant | 4009 Warren Ave, Bellwood, IL 60104-2066 | 2019-12-03 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1538705272 | Bethany Mae Frisby | Physician Assistant | 8630 W Golf Rd, Niles, IL 60714-5600 | 2019-11-18 |
| 1134761984 | Ella-marie Rakowski | Physician Assistant | 25 Acorn Dr, Hawthorn Woods, IL 60047-7407 | 2019-10-14 |
| 1467001859 | Timothy Omotayo Adesanya | Physician Assistant | Graham Correctional Center, 12078 Illinois Rte 185, Hilliboro, IL 62049 | 2019-09-09 |
| 1518514066 | Victoria Moore | Physician Assistant | 979 W Main St, West Dundee, IL 60118-2088 | 2019-08-20 |
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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.