| Jacek Grela M.d., S.c. | |
|
1011 State St Suite 140 Lemont IL 60439-4768 | |
| (630) 754-0141 | |
| Not Available |
| Full Name | Jacek Grela M.d., S.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1011 State St, Lemont, Illinois |
| Authorized Official Name and Position | Jacek Grela (PHYSICIAN) |
| Authorized Official Contact | 7084152959 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacek Grela M.d., S.c. 10s570 Glenn Dr Burr Ridge IL 60527-6822 Ph: (708) 415-2959 | Jacek Grela M.d., S.c. 1011 State St Suite 140 Lemont IL 60439-4768 Ph: (630) 754-0141 |
| NPI Number | 1366568297 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3173537347 |
|---|---|
| Medicare Enrollment ID | O20060127000100 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366568297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jacek Grela |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700850625 PECOS PAC ID: 4981618055 Enrollment ID: I20060127000141 |
| Provider Name | Michelle M Stoklosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588196802 PECOS PAC ID: 3173889854 Enrollment ID: I20171113003523 |
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