| Alicja Barbara Poleszak S.c. | |
|
7740 W North Ave Elmwood Park IL 60707-4124 | |
| (708) 456-3200 | |
| (708) 456-3427 |
| Full Name | Alicja Barbara Poleszak S.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 7740 W North Ave, Elmwood Park, Illinois |
| Authorized Official Name and Position | Alicja B Poleszak (OWNER) |
| Authorized Official Contact | 7084563200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alicja Barbara Poleszak S.c. 7740 W North Ave Elmwood Park IL 60707-4124 Ph: (708) 456-3200 | Alicja Barbara Poleszak S.c. 7740 W North Ave Elmwood Park IL 60707-4124 Ph: (708) 456-3200 |
| NPI Number | 1073792545 |
|---|---|
| Provider Enumeration Date | 10/31/2007 |
| Last Update Date | 10/31/2007 |
| Medicare PECOS PAC ID | 7214900315 |
|---|---|
| Medicare Enrollment ID | O20040817000720 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073792545 | NPI | - | NPPES |
| 036100964 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036-100964 (Illinois) | Primary |
| Provider Name | Alicja B Poleszak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699729020 PECOS PAC ID: 2668445768 Enrollment ID: I20040820000131 |
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