| Wojciech Grzeskowiak M.d. Ltd | |
|
5370 N Milwaukee Ave Chicago IL 60630-1250 | |
| (773) 631-0377 | |
| (773) 763-8756 |
| Full Name | Wojciech Grzeskowiak M.d. Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 5370 N Milwaukee Ave, Chicago, Illinois |
| Authorized Official Name and Position | Wojciech Grzeskowiak (DIRECTOR) |
| Authorized Official Contact | 7736310377 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wojciech Grzeskowiak M.d. Ltd 5370 N Milwaukee Ave Chicago IL 60630-1250 Ph: (773) 631-0377 | Wojciech Grzeskowiak M.d. Ltd 5370 N Milwaukee Ave Chicago IL 60630-1250 Ph: (773) 631-0377 |
| NPI Number | 1558668863 |
|---|---|
| Provider Enumeration Date | 02/23/2011 |
| Last Update Date | 02/23/2011 |
| Medicare PECOS PAC ID | 3678751583 |
|---|---|
| Medicare Enrollment ID | O20110623000677 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558668863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036082984 (Illinois) | Primary |
| Provider Name | Wojciech Grzeskowiak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972592061 PECOS PAC ID: 1658559562 Enrollment ID: I20110623000698 |
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