DR. KRZYSZTOF B SIEMIONOW M.D.
NPI 1689841314
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Homer Glen, IL

Q: What is Krzysztof Siemionow's NPI number?

The NPI number for Krzysztof Siemionow is 1689841314. It was assigned to this individual provider in the NPPES registry on May 12, 2008.

Q: What is Krzysztof Siemionow's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Active since May 12, 2008PECOS Enrolled

12701 W 143RD ST, SUITE 200, HOMER GLEN, IL 60491(877) 694-7722 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 29, 2021, Nov 9, 2016 (2 updates tracked since 2016).

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About Dr. Krzysztof B Siemionow M.d. NPPES

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

DR. KRZYSZTOF B SIEMIONOW M.D. (NPI 1689841314) is an individual orthopaedic surgery of the spine provider in Homer Glen, Illinois, licensed in Illinois (036-123070) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in Hinsdale.

NPPES Registry Identity

NPI1689841314

Entity TypeIndividualMale

Primary Taxonomy207XS0117X

Provider Legal NameDR. KRZYSZTOF B SIEMIONOWCredential: M.D.

Location Address12701 W 143RD ST, SUITE 200Homer Glen, IL 60491-7715

Mailing Address12701 W 143rd St, Suite 200Homer Glen, IL 60491-7715 · (877) 694-7722

Phone(877) 694-7722

Sole ProprietorNo

Enumeration DateMay 12, 2008

Last NPPES UpdateMarch 29, 20212 updates tracked since enumeration

NPPES CertifiedMarch 29, 2021

✔ NPI 1689841314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians

Taxonomy Code207XS0117X

License✔ Licensed in IL · 036-123070

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

12701 W 143RD ST, Homer Glen, IL 60491

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Secondary Practice Location 1

Location 112 Salt Creek Ln Ste 110Hinsdale, IL 60521-8606 · Phone (630) 759-1248

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Krzysztof B Siemionow M.d. 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 16

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

PATRICIA CLARK MD LLC

Surgery