| Beata I Styka Md Sc | |
|
12130 S Harlem Ave Ste B Palos Heights IL 60463-1458 | |
| (708) 448-5500 | |
| (708) 448-5501 |
| Full Name | Beata I Styka Md Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 12130 S Harlem Ave, Palos Heights, Illinois |
| Authorized Official Name and Position | Beata I Styka (OWNER) |
| Authorized Official Contact | 7084485500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beata I Styka Md Sc 12130 S Harlem Ave Ste B Palos Heights IL 60463-1458 Ph: (708) 448-5500 | Beata I Styka Md Sc 12130 S Harlem Ave Ste B Palos Heights IL 60463-1458 Ph: (708) 448-5500 |
| NPI Number | 1619171543 |
|---|---|
| Provider Enumeration Date | 06/13/2007 |
| Last Update Date | 03/23/2020 |
| Medicare PECOS PAC ID | 0941395875 |
|---|---|
| Medicare Enrollment ID | O20071005000829 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619171543 | NPI | - | NPPES |
| 215531 | Other | IL | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 036100524 (Illinois) | Primary |
| Provider Name | Beata I Styka |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1275623233 PECOS PAC ID: 5294767760 Enrollment ID: I20050906000565 |
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