MEDICARE: DR. PAUL V SZYPERSKI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	036099591	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205829785
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL V SZYPERSKI MD

Provider Business Mailing Address
First Line	:	11845 SOUTHWEST HWY STE 120
Second Line	:
City	:	PALOS HEIGHTS
State	:	IL
Zip	:	60463-3700
Country	:	US
Telephone Number	:	708-923-5474
Fax Number	:	708-923-5390

Provider Business Practice Location Address
First Line	:	11845 SOUTHWEST HWY STE 120
Second Line	:
City	:	PALOS HEIGHTS
State	:	IL
Zip	:	60463-3700
Country	:	US
Telephone Number	:	708-923-5474
Fax Number	:	708-923-5390

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2005
Last Update Date	:	08/06/2025

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