Alicja Barbara Poleszak S.c. | |
7740 W North Ave Elmwood Park IL 60707-4124 | |
(708) 456-3200 | |
(708) 456-3427 |
Full Name | Alicja Barbara Poleszak S.c. |
---|---|
Speciality | Family Medicine |
Location | 7740 W North Ave, Elmwood Park, Illinois |
Authorized Official Name and Position | Alicja B Poleszak (OWNER) |
Authorized Official Contact | 7084563200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Alicja Barbara Poleszak S.c. 7740 W North Ave Elmwood Park IL 60707-4124 Ph: (708) 456-3200 | Alicja Barbara Poleszak S.c. 7740 W North Ave Elmwood Park IL 60707-4124 Ph: (708) 456-3200 |
NPI Number | 1073792545 |
---|---|
Provider Enumeration Date | 10/31/2007 |
Last Update Date | 10/31/2007 |
Medicare PECOS PAC ID | 7214900315 |
---|---|
Medicare Enrollment ID | O20040817000720 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073792545 | NPI | - | NPPES |
036100964 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036-100964 (Illinois) | Primary |
Provider Name | Alicja B Poleszak |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699729020 PECOS PAC ID: 2668445768 Enrollment ID: I20040820000131 |
Medical Associates Of Illinois Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1950 N Harlem Ave, Elmwood Park, IL 60707 Phone: 708-452-2800 Fax: 708-452-7515 | |
Rush Oak Park Physicians Group Elmwood Park Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7734 W North Ave, Elmwood Park, IL 60707 Phone: 708-456-6611 | |
Presence Immediate Care - Elmwood Park Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7230 W North Ave, Suite 106b, Elmwood Park, IL 60707 Phone: 708-453-3000 Fax: 708-453-4460 | |
Silvia Guerrero Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1930 N Harlem Ave Apt 405, Elmwood Park, IL 60707 Phone: 215-292-7688 | |
Demorest Consutants Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7255 W Grand Ave, Elmwood Park, IL 60707 Phone: 440-279-0599 Fax: 440-279-0593 | |
Katarzyna Mencel M.d.s.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7740 W North Ave, Elmwood Park, IL 60707 Phone: 708-456-3200 Fax: 708-456-3437 |