Jonathan Dzielski, is a
Student In An Organized Health Care Education/training Program physician based in Maywood, Illinois. Jonathan Dzielski is licensed to practice in * (Not Available) (license number ) and his current practice location is 2160 S 1st Ave, Maywood, Illinois. He can be reached at his office (for appointments etc.) via phone at
(708) 216-4533.
NPI number for Jonathan Dzielski is 1225888159 and his current mailing address is 2160 S 1st Ave Ste 2840, Maywood, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225888159.
Physician's Profile
Full Name | Jonathan Dzielski |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 2160 S 1st Ave, Maywood, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1225888159
- Provider Enumeration Date: 03/25/2024
- Last Update Date: 03/25/2024
Medical Identifiers
Medical identifiers for Jonathan Dzielski such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225888159 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | PENDING (Illinois) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jonathan Dzielski is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jonathan Dzielski, 2160 S 1st Ave Ste 2840, Maywood, IL 60153-3328 Ph: () - | Jonathan Dzielski, 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (708) 216-4533 |
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