| Marek Walczyk Md,sc | |
|
1820 Ridge Rd Ste: 104 Homewood IL 60430-1760 | |
| (708) 647-7550 | |
| (708) 647-7564 |
| Full Name | Marek Walczyk Md,sc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1820 Ridge Rd, Homewood, Illinois |
| Authorized Official Name and Position | Marek Walczyk (OWNER) |
| Authorized Official Contact | 7086477550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marek Walczyk Md,sc 1820 Ridge Rd Ste 104 Homewood IL 60430-1760 Ph: (708) 647-7550 | Marek Walczyk Md,sc 1820 Ridge Rd Ste: 104 Homewood IL 60430-1760 Ph: (708) 647-7550 |
| NPI Number | 1679748222 |
|---|---|
| Provider Enumeration Date | 04/24/2008 |
| Last Update Date | 04/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679748222 | NPI | - | NPPES |
| 036107779 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 036107779 (Illinois) | Primary |
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