Wysocki, Robert
Wysocki, Robert is an individual health care provider with primary practice located at 1611 W Harrison St Ste 400, Chicago IL 60612-3841. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Wysocki, Robert can be contacted via phone (312) 243-4244.Contact Information
Primary practice address
1611 W Harrison St Ste 400
Chicago IL 60612-3841
Phone: (312) 243-4244
Fax: (312) 942-1517
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 036116709 | Illinois |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 036-116709 | Illinois |
Profile Details
NPI number | 1275645319 |
---|---|
LBN Legal business name | Wysocki, Robert |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 31st, 2006 |
Last updated | May 4th, 2021 - about 4 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 | 1275645319 | NPPES |
Other | P00836808 | RR MEDICARE | |
Other | 036116709 | RR MEDICARE | |
MEDICAID | 036116709 2 | RR MEDICARE | |
Other | 1633878 | RR MEDICARE | |
Other | 9429369 | RR MEDICARE |
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