| Nowobilska Medical Practice Ltd | |
|
5257 S Cicero Ave Chicago IL 60632-4915 | |
| (773) 735-8038 | |
| (800) 640-0772 |
| Full Name | Nowobilska Medical Practice Ltd |
|---|---|
| Speciality | Clinic/Center |
| Location | 5257 S Cicero Ave, Chicago, Illinois |
| Authorized Official Name and Position | Casey Malik (ADMINISTRATOR) |
| Authorized Official Contact | 7737358182 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nowobilska Medical Practice Ltd 5257 S Cicero Ave Chicago IL 60632-4915 Ph: (773) 735-8038 | Nowobilska Medical Practice Ltd 5257 S Cicero Ave Chicago IL 60632-4915 Ph: (773) 735-8038 |
| NPI Number | 1013217785 |
|---|---|
| Provider Enumeration Date | 10/28/2010 |
| Last Update Date | 02/09/2011 |
| Medicare PECOS PAC ID | 5991994543 |
|---|---|
| Medicare Enrollment ID | O20110112000726 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013217785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 036070270 (Illinois) | Primary |
| Provider Name | Maria Vivian L Sanchez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912981309 PECOS PAC ID: 8820091101 Enrollment ID: I20070328000407 |
| Provider Name | Laura J Tucco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710104328 PECOS PAC ID: 5193814176 Enrollment ID: I20071128000411 |
| Provider Name | Anna D Nowobilska |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255373866 PECOS PAC ID: 2961691514 Enrollment ID: I20110112000776 |
| Provider Name | Jerzy Szymanski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679509046 PECOS PAC ID: 4183693179 Enrollment ID: I20110826000505 |
| Provider Name | Sarah Elizabeth Gonzales Zoeteman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508351446 PECOS PAC ID: 7719229103 Enrollment ID: I20190506001015 |
| Provider Name | Katarzyna Gacek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588320790 PECOS PAC ID: 5193110989 Enrollment ID: I20220314000958 |
| Provider Name | Agata Magdalena Zeglen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972228286 PECOS PAC ID: 9931561628 Enrollment ID: I20230811002172 |
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