Alicja Barbara Poleszak S.C.

LBN: Alicja Barbara Poleszak S.C.
Alicja Barbara Poleszak S.C. is an health care organization with primary practice located at 7740 W North Ave , Elmwood Park IL 60707-4124. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Alicja Barbara Poleszak S.C. can be contacted via phone (708) 456-3200, or through Poleszak, Alicja B via phone (708) 456-3200.

Contact Information

Primary practice address
7740 W North Ave Elmwood Park IL 60707-4124
Phone: (708) 456-3200
Fax: (708) 456-3427
Website:
Map and Directions
Authorized official contact:
Name: Poleszak, Alicja B Doctor of Medicine (MD)
Phone: (708) 456-3200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-100964 Illinois

Profile Details

NPI number 1073792545
LBN Legal business name Alicja Barbara Poleszak S.C.
DBA Doing business as
Authorized official Poleszak, Alicja B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2007
Last updated Oct 31st, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073792545 NPPES
Illinois MEDICAID 036100964

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