Active NPI 1558311738 Individual Practitioner Male Practitioner

Dr. Ted Joseph Kulczycki , MD

Internal Medicine • Batavia, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Ted Kulczycki, MD is a certified Internal Medicine practicing in Batavia, IL. With approximately 36 years of clinical experience since graduating from Wayne State University School Of Medicine in 1990, Dr. Kulczycki delivers high-quality medical care to the local community at 2500 W FABYAN PKWY.

Dr. Kulczycki is affiliated with Advocate Health And Hospitals Corporation and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2500 W Fabyan Pkwy

Batavia, IL 605101572

Telephone 6308792110

Associated Practice Facility / Clinic

🏢 Dreyer Clinic, Inc Facility NPI 1508230590

Medicare Profile & Education

Medical School

Wayne State University School Of Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Batavia, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +9.5 yrs vs City Avg

City Avg: 26.5 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

6 Specialists

Practicing in Batavia, IL (7544 Statewide)

Telehealth Adoption Rate

66.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

56.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kulczycki (36 Years) 36 Yrs

Batavia Specialty Average (26.5 Years) 26.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	783	405	$22.00	$8.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	747	403	$279.00	$131.04
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	313	313	$332.00	$132.37
99213 Established patient office or other outpatient visit, typically 15 minutes	143	124	$198.00	$91.48
85610 Blood test, clotting time	118	26	$34.00	$4.20
93793 Anticoagulant management of patient taking warfarin	113	25	$26.00	$11.57
90480 Admn sarscov2 vacc 1 dose	109	96	$85.00	$44.19
91322 Sarscov2 vac 50 mcg/0.5ml im	109	96	$250.00	$151.31
G0008 Administration of influenza virus vaccine	107	107	$60.00	$33.45
90662 Influenza vaccine split virus, preservative free	103	103	$125.00	$80.48
93000 Routine ekg using at least 12 leads including interpretation and report	45	45	$82.00	$14.53
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	32	29	$168.00	$54.97
99495 Transitional care management services for problem of at least moderate complexity	24	21	$507.00	$211.56
99496 Transitional care management services for problem of high complexity	24	20	$713.00	$274.44
69209 Removal of impacted ear wax by washing	17	17	$175.88	$20.97
G0009 Administration of pneumococcal vaccine	16	16	$60.00	$33.45
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	14	$394.00	$184.82
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	16	16	$485.00	$289.21
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$371.00	$169.05
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	15	15	$498.00	$168.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	831	430	$22.00	$8.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	792	444	$259.00	$132.31
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	341	341	$316.00	$133.35
99213 Established patient office or other outpatient visit, typically 15 minutes	148	130	$178.00	$93.74
G0008 Administration of influenza virus vaccine	111	110	$54.37	$32.05
85610 Blood test, clotting time	109	32	$34.00	$4.20
90662 Influenza vaccine split virus, preservative free	106	105	$112.34	$71.58
93793 Anticoagulant management of patient taking warfarin	99	31	$26.00	$11.85
G0009 Administration of pneumococcal vaccine	56	56	$44.95	$32.05
93000 Routine ekg using at least 12 leads including interpretation and report	50	49	$82.00	$15.21
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	44	39	$168.00	$54.03
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	40	40	$381.48	$280.95
99495 Transitional care management services for problem of at least moderate complexity	35	31	$482.00	$211.29
69209 Removal of impacted ear wax by washing	24	22	$167.71	$20.16
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	20	20	$353.00	$171.07
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	18	$366.00	$185.48
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	17	17	$159.06	$130.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	816	455	$235.00	$133.79
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	357	357	$316.00	$136.94
99213 Established patient office or other outpatient visit, typically 15 minutes	163	146	$161.00	$95.93
36415 Insertion of needle into vein for collection of blood sample	155	143	$22.00	$2.94
85610 Blood test, clotting time	129	28	$34.00	$4.26
93793 Anticoagulant management of patient taking warfarin	122	26	$26.00	$11.87
G0008 Administration of influenza virus vaccine	101	101	$41.00	$31.14
90662 Influenza vaccine split virus, preservative free	95	95	$73.00	$68.13
G0009 Administration of pneumococcal vaccine	73	72	$41.00	$31.35
93000 Routine ekg using at least 12 leads including interpretation and report	40	40	$82.00	$14.84
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	33	33	$162.33	$131.73
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	29	24	$168.00	$55.98
90670 Pneumococcal vaccine for injection into muscle	26	26	$318.00	$246.14
69209 Removal of impacted ear wax by washing	25	23	$174.80	$20.84
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	17	$332.00	$190.75
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	15	15	$346.00	$259.51
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$474.00	$175.19
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$350.15	$175.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	805	456	$224.10	$136.87
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	293	293	$316.00	$140.18
G0008 Administration of influenza virus vaccine	123	122	$41.00	$17.98
99213 Established patient office or other outpatient visit, typically 15 minutes	104	95	$153.00	$95.74
90662 Influenza vaccine split virus, preservative free	98	98	$73.00	$64.59
G0009 Administration of pneumococcal vaccine	76	76	$41.00	$17.95
90670 Pneumococcal vaccine for injection into muscle	49	49	$318.00	$240.69
85610 Blood test, clotting time	42	18	$34.00	$4.29
93793 Anticoagulant management of patient taking warfarin	40	17	$26.00	$12.03
93000 Routine ekg using at least 12 leads including interpretation and report	40	37	$82.00	$15.66
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	15	$168.00	$75.16
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	28	$316.00	$192.31
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	29	11	$61.00	$15.02
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	28	28	$159.00	$124.42
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	28	24	$168.00	$56.16
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	24	24	$37.00	$20.45
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	18	18	$474.00	$176.96
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	18	18	$359.72	$177.33
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	14	$300.00	$142.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	527	300	$211.67	$115.34
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	192	192	$316.00	$122.15
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	82	76	$36.61	$19.40
G0008 Administration of influenza virus vaccine	82	76	$41.00	$17.68
99213 Established patient office or other outpatient visit, typically 15 minutes	72	70	$144.75	$79.26
99443 Telephone medical discussion with physician, 21-30 minutes	60	51	$146.00	$112.11
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	48	41	$299.96	$155.33
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	47	27	$167.79	$76.75
G0009 Administration of pneumococcal vaccine	42	42	$41.00	$17.66
99239 Hospital discharge day management, more than 30 minutes	30	28	$241.00	$113.44
93000 Routine ekg using at least 12 leads including interpretation and report	27	26	$82.00	$18.24
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	25	16	$239.80	$110.51
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	24	24	$155.13	$118.26
99442 Telephone medical discussion with physician, 11-20 minutes	19	16	$102.00	$75.46
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	18	$437.00	$215.82
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$300.00	$147.20
90670 Pneumococcal vaccine for injection into muscle	18	18	$318.00	$223.54
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$353.00	$174.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	626	338	$203.14	$113.49
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	160	160	$316.00	$122.83
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	129	92	$291.00	$153.57
G0008 Administration of influenza virus vaccine	81	78	$41.00	$17.39
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	77	74	$35.00	$18.65
99213 Established patient office or other outpatient visit, typically 15 minutes	70	65	$136.00	$77.80
93000 Routine ekg using at least 12 leads including interpretation and report	44	44	$82.00	$17.79
G0103 Prostate cancer screening; prostate specific antigen test (psa)	42	42	$98.00	$20.03
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	40	22	$158.00	$76.89
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	37	37	$39.00	$17.69
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	34	18	$231.00	$109.81
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	32	25	$168.00	$56.37
99239 Hospital discharge day management, more than 30 minutes	25	23	$241.00	$113.00
G0009 Administration of pneumococcal vaccine	25	25	$41.00	$17.39
90670 Pneumococcal vaccine for injection into muscle	21	21	$318.00	$208.16
69209 Removal of impacted ear wax by washing	19	17	$145.26	$16.86
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$287.00	$145.17
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$420.00	$213.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$215.00	$115.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$331.00	$174.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	647	331	$199.20	$112.56
36415 Insertion of needle into vein for collection of blood sample	627	307	$22.00	$2.94
80053 Blood test, comprehensive group of blood chemicals	475	288	$75.59	$12.73
80061 Blood test, lipids (cholesterol and triglycerides)	452	280	$96.00	$16.17
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	227	194	$46.02	$9.21
83036 Hemoglobin A1C level	176	110	$64.00	$11.70
84443 Blood test, thyroid stimulating hormone (TSH)	156	88	$108.00	$20.33
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	132	132	$316.00	$121.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	109	78	$284.71	$151.49
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	106	106	$39.00	$18.89
G0103 Prostate cancer screening; prostate specific antigen test (psa)	100	100	$102.34	$22.04
G0008 Administration of influenza virus vaccine	73	72	$42.70	$21.46
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	73	72	$35.00	$18.65
99213 Established patient office or other outpatient visit, typically 15 minutes	67	59	$130.27	$75.29
82306 Vitamin d-3 level	65	53	$217.49	$35.82
85610 Blood test, clotting time	52	24	$34.00	$4.75
G0009 Administration of pneumococcal vaccine	43	43	$33.88	$21.46
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	41	22	$222.66	$108.87
90670 Pneumococcal vaccine for injection into muscle	41	41	$234.49	$195.05
93000 Routine ekg using at least 12 leads including interpretation and report	40	39	$73.55	$18.06
81001 Manual urinalysis test with examination using microscope, automated	37	30	$27.00	$3.84
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	17	$154.13	$72.54
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	25	25	$474.00	$180.04
80048 Blood test, basic group of blood chemicals (calcium, total)	25	21	$58.84	$10.23
87086 Bacterial colony count, urine	24	17	$53.75	$9.76
82570 Creatinine level to test for kidney function or muscle injury	23	23	$46.00	$6.04
99239 Hospital discharge day management, more than 30 minutes	23	23	$232.65	$112.98
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	23	21	$157.57	$56.56
82043 Urine microalbumin (protein) level	23	23	$68.43	$6.75
80076 Liver function blood test panel	21	19	$65.52	$9.89
87088 Bacterial urine culture	19	11	$53.63	$9.79
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	18	$413.68	$213.35
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	19	11	$53.21	$10.46
83735 Magnesium level	17	17	$34.12	$8.10
83721 Ldl cholesterol level	16	12	$54.13	$11.54
85730 Coagulation assessment blood test, plasma or whole blood	16	16	$50.00	$7.27
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$282.27	$171.89
83540 Iron level	14	14	$32.00	$7.35
81003 Automated urinalysis test	13	13	$20.00	$2.71
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	13	13	$46.00	$19.25
83550 Iron binding capacity	12	12	$48.25	$9.82
85652 Red blood cell sedimentation rate, to detect inflammation, automated	12	12	$24.50	$3.04
82607 Cyanocobalamin (vitamin B-12) level	12	12	$115.00	$18.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	766	326	$22.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	633	324	$193.13	$112.48
80053 Blood test, comprehensive group of blood chemicals	556	310	$75.00	$11.34
80061 Blood test, lipids (cholesterol and triglycerides)	519	300	$96.00	$14.28
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	245	188	$45.00	$10.41
83036 Hemoglobin A1C level	222	130	$64.00	$13.05
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	209	124	$277.00	$151.22
84443 Blood test, thyroid stimulating hormone (TSH)	190	104	$108.00	$22.59
G0009 Administration of pneumococcal vaccine	146	146	$31.00	$26.65
90670 Pneumococcal vaccine for injection into muscle	144	144	$211.00	$183.82
G0103 Prostate cancer screening; prostate specific antigen test (psa)	110	110	$105.00	$24.51
99213 Established patient office or other outpatient visit, typically 15 minutes	104	95	$124.00	$75.47
G0008 Administration of influenza virus vaccine	101	97	$31.00	$26.65
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	94	91	$35.00	$18.65
82306 Vitamin d-3 level	90	63	$215.00	$39.80
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	85	25	$212.00	$109.50
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	85	85	$39.00	$21.38
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	81	81	$316.00	$121.30
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	80	80	$474.00	$178.71
85610 Blood test, clotting time	62	18	$34.00	$5.22
80048 Blood test, basic group of blood chemicals (calcium, total)	45	36	$58.00	$11.02
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	33	33	$46.00	$21.38
81001 Manual urinalysis test with examination using microscope, automated	33	30	$27.00	$4.26
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	33	28	$156.00	$56.55
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	19	$148.00	$75.58
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	31	14	$278.00	$113.26
99239 Hospital discharge day management, more than 30 minutes	27	23	$229.00	$112.62
83735 Magnesium level	24	19	$30.00	$9.01
83721 Ldl cholesterol level	23	19	$53.00	$12.83
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	20	20	$206.00	$173.52
82043 Urine microalbumin (protein) level	19	18	$58.00	$7.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	18	$400.00	$213.08
93000 Routine ekg using at least 12 leads including interpretation and report	19	19	$69.00	$18.07
82570 Creatinine level to test for kidney function or muscle injury	19	18	$46.00	$6.96
87086 Bacterial colony count, urine	16	14	$53.00	$10.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$315.00	$168.89
84153 Psa (prostate specific antigen) measurement, total	16	14	$105.00	$24.73
82607 Cyanocobalamin (vitamin B-12) level	16	16	$115.00	$20.27
17110 Destruction of up to 14 skin growths	14	13	$190.00	$117.72
80076 Liver function blood test panel	14	12	$64.00	$10.05
82746 Folic acid level	12	12	$99.00	$19.77
69209 Removal of impacted ear wax by washing	11	11	$45.82	$17.37

Medical Specialties & State Licenses

CMS Verified: 2025-03-26

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036086232

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036086232 (IL)

Commercial Insurance / Payer ID Npi Dr. Ted Kulczycki

1558311738 (IL)

Hospital & Practice Group Affiliations

Advocate Health And Hospitals Corporation

2500 W Fabyan Pkwy, Batavia, IL 605101572

Phone: 6308792110

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners

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Psychologist - Clinical

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MDPHYCHOLOGY

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Physician Assistant - Medical

NPI 1124774245

Arshad Khan

Family Medicine

NPI 1154825271

Dr. Bharthi Rao , MD, FACOG

Obstetrics & Gynecology

NPI 1194714873

Doctor of Medicine (M.D.), FACOG

Dr. Hailey Sibbett , DO

Internal Medicine

NPI 1306226246

Doctor of Osteopathic Medicine (D.O.)

Dr. Jeffrey Sroka , MD

Pediatrics

NPI 1316962012

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events

📍

Updated Business Mailing Address March 26, 2025

Registered at 28594 NETWORK PL, CHICAGO, IL 606731285 (Tel: 6308596800)

✅

NPI Profile Active February 21, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address February 21, 2017

Registered at 2357 SEQUOIA DR, AURORA, IL 605066222 (Tel: 6308596800)

📍

Updated Practice Location February 21, 2017

Registered at 2500 W FABYAN PKWY, BATAVIA, IL 605101572 (Tel: 6308792110)

👤

Provider Name / Credentials Updated February 21, 2017

Recorded as TED KULCZYCKI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2017

Internal Medicine (License #036086232 in IL)

✅

NPI Profile Active May 16, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location May 16, 2016

Registered at 2500 W FABYAN PKWY, BATAVIA, IL 605101572 (Tel: 6308792110)

📍

Updated Business Mailing Address May 16, 2016

Registered at 2500 W FABYAN PKWY, BATAVIA, IL 605101572 (Tel: 6308792110)

👤

Provider Name / Credentials Updated May 16, 2016

Recorded as TED KULCZYCKI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2016

Internal Medicine (License #036086232 in IL)

🟢

Initial NPI Registration & Enumeration May 11, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1558311738

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 11, 2006

Last Update: March 26, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

28594 Network Pl

Chicago, IL 606731285

Phone: 6308596800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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