DR. WALDEMAR MYSIAK M.D.
NPI 1972567717
Family Medicine in Libertyville, IL

Active since April 17, 2006
755 S MILWAUKEE AVE, SUITE 261, LIBERTYVILLE, IL 60048(847) 281-1100(847) 281-1300 Get Directions Write a Review

NPPES record last updated: February 14, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Waldemar Mysiak M.d. NPPES

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

DR. WALDEMAR MYSIAK M.D. (NPI 1972567717) is an individual family medicine provider in Libertyville, Illinois, licensed in Illinois (036099938) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1972567717
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. WALDEMAR MYSIAKCredential: M.D.
Location Address755 S MILWAUKEE AVE, SUITE 261Libertyville, IL 60048-3253
Mailing Address755 S Milwaukee Ave, Suite 261Libertyville, IL 60048-3253 · (847) 281-1100 · Fax (847) 281-1300
Fax(847) 281-1300
Sole ProprietorYes
Enumeration DateApril 17, 2006
Last NPPES UpdateFebruary 14, 2017
NPI 1972567717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036099938
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.
755 S MILWAUKEE AVE, Libertyville, IL 60048

Other Identifiers 5

Other04932174IL · Bcbs Number
Medicare ID-Type Unspecified205137IL · Medicare Individual Numbe
Medicare UPINH11541IL
Medicaid036099938IL
Other364406567IL · Tax Id

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.

Urology
755 S MILWAUKEE AVE, STE 263
LIBERTYVILLE, IL 60048
Internal Medicine (Rheumatology)
755 S MILWAUKEE AVE, SUITE 250
LIBERTYVILLE, IL 60048
Specialist
755 S MILWAUKEE AVE, SUITE 220
LIBERTYVILLE, IL 60048
Physical Therapist (Pediatrics)
755 S MILWAUKEE AVE, SUITE 283
LIBERTYVILLE, IL 60048
Internal Medicine (Endocrinology, Diabetes & Metabolism)
755 S MILWAUKEE AVE, SUITE 186
LIBERTYVILLE, IL 60048
Hearing Instrument Specialist
755 S MILWAUKEE AVE, SUITE 189
LIBERTYVILLE, IL 60048
Nurse Practitioner (Family)
755 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048
Nurse Practitioner (Primary Care)
755 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048

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 Waldemar Mysiak's NPI number?

The NPI number for Waldemar Mysiak is 1972567717. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Where is Waldemar Mysiak located?

Waldemar Mysiak practices at 755 S Milwaukee Ave Suite 261, Libertyville, IL 60048. The listed phone number is (847) 281-1100.

What is Waldemar Mysiak's specialty?

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

When was this NPI record last updated?

The NPPES record for Waldemar Mysiak was last updated on February 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.