MITCHELL KORDZIKOWSKI
NPI 1467123059
Nurse Practitioner - Psychiatric/Mental Health in Chicago, IL

Q: What is Mitchell Kordzikowski's NPI number?

The NPI number for Mitchell Kordzikowski is 1467123059. It was assigned to this individual provider in the NPPES registry on September 23, 2021.

Q: What is Mitchell Kordzikowski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since September 23, 2021PECOS Enrolled

3240 W DIVISION ST, CHICAGO, IL 60651(312) 413-7425 Get Directions Write a Review

NPPES record last updated: April 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mitchell Kordzikowski NPPES

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

MITCHELL KORDZIKOWSKI (NPI 1467123059) is an individual psychiatric/mental health provider in Chicago, Illinois, licensed in Illinois (209.024040) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467123059

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMITCHELL KORDZIKOWSKI

Location Address3240 W DIVISION STChicago, IL 60651-2405

Mailing Address3240 W Division StChicago, IL 60651-2405 · (312) 413-7425

Phone(312) 413-7425

Sole ProprietorNo

Enumeration DateSeptember 23, 2021

Last NPPES UpdateApril 28, 2023

NPPES CertifiedApril 28, 2023

✔ NPI 1467123059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in IL · 209.024040

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 041.430862 (IL)

3240 W DIVISION ST, Chicago, IL 60651

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mitchell Kordzikowski is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60651 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

KELLY THERESE MOORE RN, DNP STUDENT

Registered Nurse (Ambulatory Care)