| Richard Izewski MD Ltd | |
|
1094 S Roselle Rd Schaumburg IL 60193-3961 | |
| (847) 301-1377 | |
| (847) 301-1378 |
| Full Name | Richard Izewski MD Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 1094 S Roselle Rd, Schaumburg, Illinois |
| Authorized Official Name and Position | Richard Slavomir Izewski (PRESIDENT) |
| Authorized Official Contact | 8473011377 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Izewski MD Ltd 1094 S Roselle Rd Schaumburg IL 60193-3961 Ph: (847) 301-1377 | Richard Izewski MD Ltd 1094 S Roselle Rd Schaumburg IL 60193-3961 Ph: (847) 301-1377 |
| NPI Number | 1194856211 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 10/22/2020 |
| Certification Date | 10/22/2020 |
| Medicare PECOS PAC ID | 1759563869 |
|---|---|
| Medicare Enrollment ID | O20110310000822 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194856211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036085452 (Illinois) | Primary |
| Provider Name | Richard S Izewski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306930177 PECOS PAC ID: 3072618354 Enrollment ID: I20070416000031 |
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