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MR. ETHAN JAMES KSIAZEK PA-C
NPI 1073381166
Physician Assistant - Medical in Chicago, IL

Active since December 18, 2023
225 E CHICAGO AVE, CHICAGO, IL 60611(312) 227-4000 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Ethan James Ksiazek Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ETHAN JAMES KSIAZEK PA-C (NPI 1073381166) is an individual medical provider in Chicago, Illinois, licensed in Iowa (085010244) and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1073381166
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. ETHAN JAMES KSIAZEKCredential: PA-C
Location Address225 E CHICAGO AVEChicago, IL 60611-2991
Mailing Address225 E Chicago AveChicago, IL 60611-2991 · (312) 227-4000
Phone(312) 227-4000
Sole ProprietorNo
Enumeration DateDecember 18, 2023
Last NPPES UpdateApril 25, 2024
NPPES CertifiedJanuary 14, 2024
✔ NPI 1073381166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in IA · 085010244
225 E CHICAGO AVE, Chicago, IL 60611
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BESSEY ELIZABETH JOSE GEEVARGHESE DO
Pediatrics
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (630) 933-6631
CHRISTINA SOOJIN KIM M.D.
Pediatrics
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (443) 928-7458
JESSICA LAUREN OFFENBACH APN
Nurse Practitioner (Pediatrics)
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 227-4000
MS. JENNY KO LEE APN
Nurse Practitioner (Neonatal)
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (847) 962-6268
ERIN COHEN MD
Pediatrics (Hospice and Palliative Medicine)
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 227-4000
DR. JOSEPH HART COLLINS MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 227-3550
ALEXIS LYN HARMON
Student in an Organized Health Care Education/Training Program
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 227-4000
SHANNON JULIA CONWAY MD
Student in an Organized Health Care Education/Training Program
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 227-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Ksiazek's NPI number?

The NPI number for Ethan Ksiazek is 1073381166. It was assigned to this individual provider in the NPPES registry on December 18, 2023.

Where is Ethan Ksiazek located?

Ethan Ksiazek practices at 225 E Chicago Ave, Chicago, IL 60611. The listed phone number is (312) 227-4000.

What is Ethan Ksiazek's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Ethan Ksiazek was last updated on April 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.