Humowiecki, Stephen R

Humowiecki, Stephen R is an individual health care provider with primary practice located at 1100 Lake St Suite 210, Oak Park IL 60301-1015. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Humowiecki, Stephen R can be contacted via phone (708) 848-4188.

Contact Information

Primary practice address
1100 Lake St Suite 210 Oak Park IL 60301-1015
Phone: (708) 848-4188
Fax: (708) 524-2142
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036053573 Illinois

Profile Details

NPI number 1477533560
LBN Legal business name Humowiecki, Stephen R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Jul 22nd, 2008 - about 16 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 1477533560 NPPES
Illinois Other 01615849 BCBS
Illinois MEDICAID 036053572 BCBS

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