| Andrzej Gacek Medical , Llc | |
|
5901 N Milwaukee Ave Suite D Chicago IL 60646-5443 | |
| (773) 631-1300 | |
| (773) 631-3971 |
| Full Name | Andrzej Gacek Medical , Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5901 N Milwaukee Ave, Chicago, Illinois |
| Authorized Official Name and Position | Andrzej Jozef Gacek (BILLING) |
| Authorized Official Contact | 8474440553 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrzej Gacek Medical , Llc 5901 N Milwaukee Ave Suite D Chicago IL 60646-5443 Ph: (773) 631-1300 | Andrzej Gacek Medical , Llc 5901 N Milwaukee Ave Suite D Chicago IL 60646-5443 Ph: (773) 631-1300 |
| NPI Number | 1225206782 |
|---|---|
| Provider Enumeration Date | 02/18/2008 |
| Last Update Date | 03/02/2009 |
| Medicare PECOS PAC ID | 9739253725 |
|---|---|
| Medicare Enrollment ID | O20080808000806 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225206782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036117533 (Illinois) | Primary |
| Provider Name | Andrzej Gacek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871543694 PECOS PAC ID: 8123030863 Enrollment ID: I20080808000804 |
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