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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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.

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