Poniatowicz, Joanna
Poniatowicz, Joanna is an individual health care provider with primary practice located at 1875 Dempster Ste 601, Park Ridge IL 60068. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Poniatowicz, Joanna can be contacted via phone (847) 686-7777.Contact Information
Primary practice address
1875 Dempster Ste 601
Park Ridge IL 60068
Phone: (847) 686-7777
Fax: (847) 297-0770
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 036105770 | Illinois |
Profile Details
| NPI number | 1770560864 |
|---|---|
| LBN Legal business name | Poniatowicz, Joanna |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2005 |
| Last updated | May 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770560864 | NPPES |
| Illinois | MEDICAID | 036105770 |
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