Wieslaw Robert Dybowski

NPI 1013124403 - Physician Assistant - 363AS0400X

NPI Details
NPI 1013124403
Gender Male
Enumeration Date 05/17/2007
Last Updated 12/08/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
BERWYN IL, 60402-3429, US
Phone (773) 502-4221
Fax (773) 404-2086
Business Location
PO BOX 56341
CHICAGO IL, 60656-0341, US
Phone (708) 867-4949
Fax (708) 867-4981
Taxonomy Code 363AS0400X
License State Illinois
License Number 238000076
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According to our database, Wieslaw Robert Dybowski NPI is 1013124403, taxonomy code is 363AS0400X and license number is 238000076, license state is located at Illinois. Wieslaw Robert Dybowski physically located at 3249 Oak Park Ave, Berwyn IL, 60402-3429. NPI Number Wieslaw Robert Dybowski has the Individual type.

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1013124403 NPI number is provided on an as is basis without warranty of any kind. 1013124403 is maintained by the National Plan & Provider Enumeration System. The contents of Wieslaw Robert Dybowski are for informational purposes only.