Stachowski, Michael M

Stachowski, Michael M is an individual health care provider with primary practice located at 2850 W. 95Th St Suite 210, Evergreen Park IL 60805. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Stachowski, Michael M can be contacted via phone (708) 499-2070.

Contact Information

Primary practice address
2850 W. 95Th St Suite 210 Evergreen Park IL 60805
Phone: (708) 499-2070
Fax: (708) 499-2248
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036062853 Illinois

Profile Details

NPI number 1144267253
LBN Legal business name Stachowski, Michael M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Feb 24th, 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 1144267253 NPPES
Illinois MEDICAID 036062853

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