Jaskowiak, Nora Teresa

Jaskowiak, Nora Teresa is an sole proprietor health care provider with primary practice located at 5841 S. Maryland Ave Mc 5031, Chicago IL 60637. She recently has only one registered license in Hospitals / General Acute Care Hospital, which is considered as her primary health care specialty. Jaskowiak, Nora Teresa can be contacted via phone (773) 702-2048.

Contact Information

Primary practice address
5841 S. Maryland Ave Mc 5031 Chicago IL 60637
Phone: (773) 702-2048
Fax: (773) 834-4022
Website:
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Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X 362177139 Illinois

Profile Details

NPI number 1760552681
LBN Legal business name Jaskowiak, Nora Teresa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2006
Last updated Mar 27th, 2009 - 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 1760552681 NPPES
Illinois Other 036097897 STATE MEDICAL LICENSE

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