| Dorothy Prusek, S.c. | |
|
363 N York St Elmhurst IL 60126-2321 | |
| (630) 279-8200 | |
| (630) 279-8236 |
| Full Name | Dorothy Prusek, S.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 363 N York St, Elmhurst, Illinois |
| Authorized Official Name and Position | Dorothy Prusek (OWNER) |
| Authorized Official Contact | 6302798200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dorothy Prusek, S.c. 363 N York St Elmhurst IL 60126-2321 Ph: (630) 279-8200 | Dorothy Prusek, S.c. 363 N York St Elmhurst IL 60126-2321 Ph: (630) 279-8200 |
| NPI Number | 1699897975 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699897975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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