Pietrzak, Constance Agnes
Pietrzak, Constance Agnes is an sole proprietor health care provider with primary practice located at 17850 Kedzie Ave Ste 2100 , Hazel Crest IL 60429-2056. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is her primary health care specialty. Pietrzak, Constance Agnes can be contacted via phone (708) 957-4011.Contact Information
Primary practice address
17850 Kedzie Ave Ste 2100
Hazel Crest IL 60429-2056
Phone: (708) 957-4011
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 125053383 | Illinois |
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 036126021 | Illinois |
Profile Details
NPI number | 1174788343 |
---|---|
LBN Legal business name | Pietrzak, Constance Agnes |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 27th, 2008 |
Last updated | Dec 17th, 2021 - about 4 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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