| Wojciech Ornowski Md Pc | |
|
16105 La Salle St South Holland IL 60473-2064 | |
| (708) 566-4134 | |
| (708) 713-4143 |
| Full Name | Wojciech Ornowski Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 16105 La Salle St, South Holland, Illinois |
| Authorized Official Name and Position | Wojciech Ornowski (PRESIDENT) |
| Authorized Official Contact | 7085664134 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wojciech Ornowski Md Pc 16105 La Salle St South Holland IL 60473-2064 Ph: (708) 566-4134 | Wojciech Ornowski Md Pc 16105 La Salle St South Holland IL 60473-2064 Ph: (708) 566-4134 |
| NPI Number | 1447376330 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 12/21/2020 |
| Medicare PECOS PAC ID | 8820085350 |
|---|---|
| Medicare Enrollment ID | O20040427001529 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447376330 | NPI | - | NPPES |
| 036094416 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036094416 (Illinois) | Secondary |
| 207RS0012X | Internal Medicine - Sleep Medicine | (* (Not Available)) | Primary |
| Provider Name | Wojciech Ornowski |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1801887369 PECOS PAC ID: 9638166168 Enrollment ID: I20040503001539 |
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