JEFFERY JOHN KAMYSZ (NPI# 1447457585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447457585 |
| Entity Type | Individual |
| Full Name | JEFFERY JOHN KAMYSZ |
| Credential | MD |
| Practice Address |
621 S Roselle Rd 2nd Floor Schaumburg IL 60193-3175 |
| Mailing Address |
5514 W Ardmore Ave Chicago IL 60646-6506 |
| Practice Telephone | 3124208414 |
| Mailing Telephone | 8474778029 |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2012-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 036083315 | IL | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
036-083315 | IL | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 036.083315 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
621 S ROSELLE RD 2ND FLOOR |
| City | SCHAUMBURG |
| State | IL |
| Zip Code | 60193-3175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336555150 | William Bryant I | Nurse Practitioner | 621 S Roselle Rd, 2nd Floor, Schaumburg, IL 60193-3175 | 2014-07-02 |
| 1851728802 | Caring Doctor At Home Ltd | Point of Service | 621 S Roselle Rd, 2nd Floor, Schaumburg, IL 60193-3175 | 2013-10-07 |
| 1053671479 | Doran Michael Duke | Internal Medicine | 621 S Roselle Rd, 2nd Flr, Schaumburg, IL 60193-3175 | 2012-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225546203 | Golden Corridor Family Young Men's Christian Association | Health Educator | 300 W Wise Road, Schaumburg, IL 60193 | 2018-01-12 |
| 1821516469 | Jill Leann Kissinger | Nurse Practitioner | 1227 Cranbrook Dr, Schaumburg, IL 60193 | 2017-09-05 |
| 1265981021 | Fresenius Medical Care Schaumburg, LLC | Clinic/Center | 815 W Wise Rd, Schaumburg, IL 60193 | 2016-09-22 |
| 1316323157 | Jasmine Said | Optometrist | 2834 Adams Ct., Schaumburg, IL 60193 | 2015-08-04 |
| 1215368287 | Daryl B. Wever Corp | Podiatrist | 455 S Roselle Rd Ste 101, Schaumburg, IL 60193 | 2013-12-02 |
| 1164764668 | Pediatric Healthlink, S.c. | Pediatrics | 455 S. Roselle Road, Suite 109, Schaumburg, IL 60193 | 2013-03-22 |
| 1407154602 | Physician Office | Internal Medicine | 321 South Barrington Road, Schaumburg, IL 60193 | 2011-03-11 |
| 1154552016 | Crystal Clear Eye Care Clinic | Preferred Provider Organization | 1760 Wise, Schaumberg, IL 60193 | 2009-07-27 |
| 1437304458 | Frank J. Honig | Dentist | 129 S. Roselle Rd., 201, Schaumburg, IL 60193 | 2008-11-18 |
| 1902059017 | Today's Family Dentistry | Dentist | 1752 W. Wise Rd., Schaunburg, IL 60193 | 2008-11-03 |
| Find all providers in zip 60193 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528671625 | Brightlife Regenerative Medical Clinic Schaumburg Sc | General Practice | 44 W Schaumburg Rd, Schaumburg, IL 60194-3502 | 2020-08-28 |
| 1932191905 | Andrzej Sowinski Medical Offices Sc | General Practice | 1025 W Wise Rd, Suite 100, Schaumburg, IL 60193-3746 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538775192 | Discover Integrated Medical Center, Ltd. | General Practice | 2207 N Us Highway 12 Ste E, Spring Grove, IL 60081-9706 | 2020-09-18 |
| 1154946903 | Wound Pros Illinois | General Practice | 5250 Old Orchard Rd., Suite 300, Skokie, IL 60077-4462 | 2020-06-08 |
| 1306465786 | Brightlife Regenerative Medical Clinic Lombard Sc | General Practice | 442 E Roosevelt Rd, Lombard, IL 60148-4630 | 2020-04-15 |
| 1851920524 | Sahens Mezidor | General Practice | 228 Ridge Ave Apt G, Evanston, IL 60202-6409 | 2020-04-05 |
| 1447881487 | Tyrian Healthcare Solutions, LLC | General Practice | 2120 W Heading Ave, West Peoria, IL 61604-5138 | 2020-01-29 |
| 1598302077 | Enhance Medical LLC | General Practice | 1193 N Gary Ave, Carol Stream, IL 60188-9423 | 2019-12-04 |
| 1164067054 | League Corp. | General Practice | 515 N State St Fl 8, Chicago, IL 60654-9102 | 2019-11-14 |
| 1679129977 | Chronic Care Solutions LLC | General Practice | 3050 W Columbia Ave, Chicago, IL 60645-4006 | 2019-08-13 |
| 1205393972 | Midwest Medical LLC | General Practice | 2001 Midwest Rd Ste Ll22, Oak Brook, IL 60523-1316 | 2019-02-28 |
| 1306311725 | Genesis Integrative Medicine LLC | General Practice | 1881 S Randall Rd Ste C, Geneva, IL 60134-2532 | 2018-10-11 |
| Find all providers with the same taxonomy | ||||
| City | SCHAUMBURG |
| Zip Code | 60193 |
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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.