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NPI 1386860997

IndividualActive

Mariya Dmytriv-Kapeniak, M.D.

NPI 1386860997 · Adult Medicine Physician · Chicago, IL

Provider details

NPI number: 1386860997
Entity type: Individual
Primary specialty: Adult Medicine PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Female
Sole proprietor: Yes
License: 036120196 (IL)

Specialties & taxonomies

Adult Medicine PhysicianPrimary207QA0505XLicense 036120196 (IL)
Allopathic & Osteopathic Physicians

Practice location

1640 N Damen Ave

Chicago, IL 60647-5553

Phone: (312) 219-2230

Approximate (ZIP-level) locationGet directions

More IL providers

Mailing address

1640 N Damen Ave

Chicago, IL 60647-5553

Additional practice locations (2)

2540 W Chicago Ave
Chicago, IL 60622-5019
Phone: (312) 470-6655
4111 Franklin St
Michigan City, IN 46360-7803
Phone: (219) 873-2919

Registry dates

Enumerated: 2007-04-18
Last updated: 2022-09-23
Certified: 2022-09-23

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Mariya Dmytriv-Kapeniak, M.D. — NPI 1386860997, Chicago, IL | NPI Central