Poleszak, Alicja B

Poleszak, Alicja B is an individual health care provider with primary practice located at 7740 W North Ave , Elmwood Park IL 60707-4124. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Poleszak, Alicja B can be contacted via phone (708) 456-3200.

Contact Information

Primary practice address
7740 W North Ave Elmwood Park IL 60707-4124
Phone: (708) 456-3200
Fax: (708) 456-3427
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-100964 Illinois

Profile Details

NPI number 1699729020
LBN Legal business name Poleszak, Alicja B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Jan 19th, 2010 - about 14 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 1699729020 NPPES
Illinois Other 1634704 BC/BS
Illinois MEDICAID 036100964 BC/BS

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