Drazkiewicz, Maciej K
Drazkiewicz, Maciej K is an sole proprietor health care provider with primary practice located at 2222 W Division St Ste 215, Chicago IL 60634-3094. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Drazkiewicz, Maciej K can be contacted via phone (773) 227-8807.Contact Information
Primary practice address
2222 W Division St Ste 215
Chicago IL 60634-3094
Phone: (773) 227-8807
Fax: (773) 227-8907
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 036083034 | Illinois |
Profile Details
NPI number | 1497708333 |
---|---|
LBN Legal business name | Drazkiewicz, Maciej K |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 19th, 2006 |
Last updated | Apr 1st, 2020 - about 5 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 | 1497708333 | NPPES |
Illinois | Other | 376301 | PTAN |
Illinois | MEDICAID | 036083034 | PTAN |
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