DR. BOGUSLAW S BONCZAK M.D.
NPI 1881893303
Family Medicine in Mchenry, IL

Q: What is Boguslaw Bonczak's NPI number?

The NPI number for Boguslaw Bonczak is 1881893303. It was assigned to this individual provider in the NPPES registry on July 13, 2007.

Q: What is Boguslaw Bonczak's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Boguslaw Bonczak was last updated on February 27, 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.

Active since July 13, 2007PECOS Enrolled

3715 MUNICIPAL DR, MCHENRY, IL 60050(815) 759-1953(224) 610-3815 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 10, 2021, Jan 31, 2019, Oct 19, 2018 and 3 more (6 updates tracked since 2017).

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About Dr. Boguslaw S Bonczak M.d. NPPES

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

DR. BOGUSLAW S BONCZAK M.D. (NPI 1881893303) is an individual family medicine provider in Mchenry, Illinois, licensed in Illinois (036-124359) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1881893303

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. BOGUSLAW S BONCZAKCredential: M.D.

Location Address3715 MUNICIPAL DRMchenry, IL 60050-5483

Mailing Address3715 Municipal DrMchenry, IL 60050-5483 · (815) 759-1953 · Fax (224) 610-3815

Phone(815) 759-1953

Fax(224) 610-3815

Sole ProprietorNo

Enumeration DateJuly 13, 2007

Last NPPES UpdateFebruary 27, 20246 updates tracked since enumeration

NPPES CertifiedFebruary 27, 2024

✔ NPI 1881893303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in IL · 036-124359✔ Licensed in IL · 125053459

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3715 MUNICIPAL DR, Mchenry, IL 60050

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Secondary Practice Locations 4

Location 1235 S Rand RdLake Zurich, IL 60047-2273 · Phone (847) 438-3770

Location 2360 Station Dr Fl 3Crystal Lake, IL 60014 · Phone (815) 338-6600 · Fax (815) 356-2320

Location 3650 Dakota St Ste ACrystal Lake, IL 60012 · Phone (815) 455-6000 · Fax (815) 356-1104

Location 42971 W Algonquin Rd, Ste 105Algonquin, IL 60102-9406 · Phone (847) 854-5490 · Fax (847) 854-8257

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Boguslaw S Bonczak 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.

Medicare Billing Reassignments

Medicare enrollment records show Boguslaw Bonczak reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lutheran General Hospital

31 mi

Cardiovascular Disease

1775 DEMPSTER ST
Park Ridge, IL 60068

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: Advocate Health And Hospitals Corporation
4,870 clinicians in this Medicare group

NPI 1801809306 (847) 723-2210

Central Dupage Physician Group

36 mi

Family Medicine

5777 DEPARTMENT
Carol Stream, IL 60122

Reassigned Medicare billing, Illinois enrollment
1,664 clinicians in this Medicare group

NPI 1033149844 (630) 933-3300

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60050 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers17 claims68 services$6.61 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims11 services$15.32 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier11 claims11 services$68.38 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

AMANDA YECK LPN

Licensed Practical Nurse