Alicja Barbara Poleszak S.c.

NPI 1073792545 - Family Medicine - 207Q00000X

NPI Details
NPI 1073792545
Enumeration Date 10/31/2007
Last Updated 10/31/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ALICJA B ALICJA
Position OWNER
Phone (708) 456-3200
Fax (708) 456-3427
Practice Location
7740 W NORTH AVE
ELMWOOD PARK IL, 60707-4124, US
Phone (708) 456-3200
Fax (708) 456-3427
Business Location
7740 W NORTH AVE
ELMWOOD PARK IL, 60707-4124, US
Phone (708) 456-3200
Fax (708) 456-3427
Toxanomy
Taxonomy Code 207Q00000X
License State Illinois
License Number 036-100964
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According to our database, Alicja Barbara Poleszak S.c. NPI is 1073792545, taxonomy code is 207Q00000X and license number is 036-100964, license state is located at Illinois. Alicja Barbara Poleszak S.c. physically located at 7740 W North Ave, Elmwood Park IL, 60707-4124. NPI Number 1033115704 has the healthcare provider type.

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1073792545 NPI number is provided on an as is basis without warranty of any kind. 1073792545 is maintained by the National Plan & Provider Enumeration System. The contents of Alicja Barbara Poleszak S.c. are for informational purposes only.