| Eugenia Grochowska Md | |
|
5647 W Lawrence Ave Chicago IL 60630-3219 | |
| (773) 545-5252 | |
| (773) 545-5671 |
| Full Name | Eugenia Grochowska Md |
|---|---|
| Speciality | Family Medicine |
| Location | 5647 W Lawrence Ave, Chicago, Illinois |
| Authorized Official Name and Position | Eugenia Grochowska (OWNER) |
| Authorized Official Contact | 7735455252 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eugenia Grochowska Md 5647 W Lawrence Ave Chicago IL 60630-3219 Ph: (773) 545-5252 | Eugenia Grochowska Md 5647 W Lawrence Ave Chicago IL 60630-3219 Ph: (773) 545-5252 |
| NPI Number | 1396007456 |
|---|---|
| Provider Enumeration Date | 06/13/2012 |
| Last Update Date | 06/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396007456 | NPI | - | NPPES |
| 036062717 | Medicaid | IL | |
| 21609795 | Other | IL | BLUE CROSS BLUE SHIELD OF ILLINOIS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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