Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Paul E. Antczak Jr., APN-CNP

Individual provider Nurse Practitioner · NPI 1790457190

Paul E. Antczak Jr., APN-CNP is a Nurse Practitioner in Chicago, Illinois. Qualified in 2021, 5 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
5
Licensed in
IL
In the registry since
2021
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Practice location Address checks out

5140 N California Ave Ste M331
Chicago, IL 60625-3645
Phone: (773) 878-8200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209023680 (IL)

Record details

NPI number1790457190
Entity typeIndividual (Type 1)
GenderMale
Credentials APN-CNP
Sole proprietorNo
NPI enumeratedOctober 4, 2021
Last updated in NPPESNovember 17, 2021
Certification dateNovember 17, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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