Dlugopolski-Gach, Josephine
Dlugopolski-Gach, Josephine is an individual health care provider with primary practice located at 2160 S First Ave (9608 Roberts Rd, Hickory Hills, Illinois 60457), Maywood IL 60153. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Dlugopolski-Gach, Josephine can be contacted via phone (708) 233-5333.Contact Information
Primary practice address
2160 S First Ave (9608 Roberts Rd, Hickory Hills, Illinois 60457)
Maywood IL 60153
Phone: (708) 233-5333
Fax: (708) 233-5348
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 36112666 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 36112666 | Illinois |
Profile Details
| NPI number | 1679543151 |
|---|---|
| LBN Legal business name | Dlugopolski-Gach, Josephine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Jun 28th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679543151 | NPPES |
| Illinois | MEDICAID | 36112666 |
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