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AGATA OCZKO DANGUILAN MD SC
NPI 1114076791
Clinic/Center - Primary Care in Grayslake, IL

Active since January 10, 2007CLIA 14D1061999 · Waiver
61 S SEYMOUR AVE, GRAYSLAKE, IL 60030(847) 546-5600(847) 546-5603 Get Directions Write a Review

NPPES record last updated: August 3, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Agata Oczko Danguilan Md Sc NPPES

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

AGATA OCZKO DANGUILAN MD SC (NPI 1114076791) is a healthcare organization registered as a primary care in Grayslake, Illinois and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through December 3, 2026 and lists Agata Oczko-danguilan, President, as its authorized official.

NPPES Registry Identity

NPI1114076791
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameAGATA OCZKO DANGUILAN MD SC
Location Address61 S SEYMOUR AVEGrayslake, IL 60030-1541
Mailing Address61 S Seymour AveGrayslake, IL 60030-1541 · (847) 546-5600 · Fax (847) 546-5603
Phone(847) 546-5600
Fax(847) 546-5603
Organization SubpartNo
Authorized OfficialAgata Oczko-danguilanPresident · (847) 546-5600
Enumeration DateJanuary 10, 2007
Last NPPES UpdateAugust 3, 2024
NPPES CertifiedAugust 3, 2024
✔ NPI 1114076791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in IL · 036112877
61 S SEYMOUR AVE, Grayslake, IL 60030
Open in Google Maps ↗

Other Identifiers 1

Medicaid036112877IL

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Agata Oczko Danguilan Md Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Agata Oczko Danguilan MD Sc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Agata Oczko Danguilan, M.D.
Internal Medicine
NPI 1285701714
61 S SEYMOUR AVE
Grayslake, IL 60030
(847) 546-5600
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D1061999

Agata Oczko-Danguilan M D S C · Grayslake, IL
Active · expires Dec 3, 2026
CLIA Number14D1061999
Laboratory TypePhysician Office
Certificate Effective DateDecember 4, 2024
Certificate Expiration DateDecember 3, 2026
Laboratory DirectorAgata B. Oczko-Danguilan M D
Laboratory Phone(847) 546-5600
Laboratory LocationAgata Oczko-Danguilan M D S C61 S Seymour Ave, Grayslake, IL 60030
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Agata Oczko Danguilan MD Sc's NPI number?

The NPI number for Agata Oczko Danguilan MD Sc is 1114076791. It was assigned to this organization in the NPPES registry on January 10, 2007.

Where is Agata Oczko Danguilan MD Sc located?

Agata Oczko Danguilan MD Sc is located at 61 S Seymour Ave, Grayslake, IL 60030. The listed phone number is (847) 546-5600.

What is Agata Oczko Danguilan MD Sc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Agata Oczko Danguilan MD Sc enrolled in Medicare?

Yes. Agata Oczko Danguilan MD Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Agata Oczko Danguilan MD Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Agata Oczko Danguilan MD Sc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Agata Oczko Danguilan MD Sc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1061999) is associated with this NPI, valid through December 3, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Agata Oczko Danguilan MD Sc was last updated on August 3, 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.