Roztoczynski, Henryk
Roztoczynski, Henryk is an sole proprietor health care provider with primary practice located at 6157 W Belmont Ave , Chicago IL 60634-4004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Roztoczynski, Henryk can be contacted via phone (773) 745-8434.Contact Information
Primary practice address
6157 W Belmont Ave
Chicago IL 60634-4004
Phone: (773) 745-8434
Fax: (773) 745-3443
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 036058369 | Illinois |
Profile Details
| NPI number | 1457430415 |
|---|---|
| LBN Legal business name | Roztoczynski, Henryk |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1457430415 | NPPES |
| Illinois | Other | 31600059 | BCBS |
| Illinois | MEDICAID | 036058369 | BCBS |
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