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MAXIMILLIAN BZDULA
NPI 1558057554
Student in an Organized Health Care Education/Training Program in Olympia Fields, IL

Active since April 12, 2023PECOS Enrolled
20201 CRAWFORD AVE, OLYMPIA FIELDS, IL 60461(708) 747-4000 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maximillian Bzdula NPPES

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

MAXIMILLIAN BZDULA (NPI 1558057554) is an individual student in an organized health care education/training program in Olympia Fields, Illinois and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558057554
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMAXIMILLIAN BZDULA
Location Address20201 CRAWFORD AVEOlympia Fields, IL 60461-1010
Mailing Address20201 Crawford AveOlympia Fields, IL 60461-1010 · (708) 747-4000
Phone(708) 747-4000
Sole ProprietorNo
Enumeration DateApril 12, 2023
NPPES CertifiedApril 12, 2023
✔ NPI 1558057554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
20201 CRAWFORD AVE, Olympia Fields, IL 60461
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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)

Maximillian Bzdula 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.

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.

MR. PRANEET SATYENDRA MYLAVARAPU MD
Hospitalist
20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461
Cook County (708) 855-7297
CHINTAN SHAH DO
Hospitalist
20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461
Cook County (708) 747-4000
MICHAEL JOSEPH MULLAN II PTA
Physical Therapy Assistant
20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461
Cook County (708) 852-2540
MARIA STEPHANIE TICSA
Student in an Organized Health Care Education/Training Program
20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461
Cook County (708) 747-4000
DR. TONI SCOTT-TERRY MD
Obstetrics & Gynecology
20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461
Cook County (708) 679-2160
DR. JOSEPH JOHN ZANGHI D.O.
Urology
20201 CRAWFORD AVE, ATTN: POSTDOCTORAL EDUCATION
OLYMPIA FIELDS, IL 60461
Cook County (708) 747-4000
CONSULTANTS IN PATHOLOGY SC
Pathology (Anatomic Pathology & Clinical Pathology)
20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461
Cook County (708) 747-4000
SAMUEL L MACAGBA JR. MD
Anesthesiology
20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461
Cook County (708) 503-3857

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 Maximillian Bzdula's NPI number?

The NPI number for Maximillian Bzdula is 1558057554. It was assigned to this individual provider in the NPPES registry on April 12, 2023.

Where is Maximillian Bzdula located?

Maximillian Bzdula practices at 20201 Crawford Ave, Olympia Fields, IL 60461. The listed phone number is (708) 747-4000.

What is Maximillian Bzdula's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Maximillian Bzdula enrolled in Medicare?

Yes. Maximillian Bzdula is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Maximillian Bzdula was last updated on April 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.