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:
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Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
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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