Bielecki, Charlene

Bielecki, Charlene is an individual health care provider with primary practice located at 12251 S 80Th Ave , Palos Heights IL 60463-1256. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Bielecki, Charlene can be contacted via phone (630) 257-1111.

Contact Information

Primary practice address
12251 S 80Th Ave Palos Heights IL 60463-1256
Phone: (630) 257-1111
Fax: (630) 257-1115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 041246820 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 209.008359 Illinois

Profile Details

NPI number 1770893158
LBN Legal business name Bielecki, Charlene
Credentials ANP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2010
Last updated Feb 5th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770893158 NPPES
Illinois Other F400285932 MEDICARE PTAN

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