| Med-pol, Sc | |
|
3048 N Milwaukee Ave Chicago IL 60618-6624 | |
| (773) 227-2821 | |
| (773) 227-1904 |
| Full Name | Med-pol, Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3048 N Milwaukee Ave, Chicago, Illinois |
| Authorized Official Name and Position | Ireneusz Pawlowski (OWNER) |
| Authorized Official Contact | 7732272821 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Med-pol, Sc 3048 N Milwaukee Ave Chicago IL 60618-6624 Ph: (773) 227-2821 | Med-pol, Sc 3048 N Milwaukee Ave Chicago IL 60618-6624 Ph: (773) 227-2821 |
| NPI Number | 1215047261 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4183623580 |
|---|---|
| Medicare Enrollment ID | O20061213000103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215047261 | NPI | - | NPPES |
| PENDING | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Illinois) | Primary |
| Provider Name | Ireneusz Pawlowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588774616 PECOS PAC ID: 5698720506 Enrollment ID: I20050314000786 |
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