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NPI Code Detail

MEDICARE: MRS. JOANNA SZKWARLA PA-C

MEDICARE: MRS. JOANNA SZKWARLA PA-C
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
1363AM0700XMedical Physician Assistant085006024IL

General Provider Information

NPI Number : 1396288346
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JOANNA SZKWARLA PA-C
Provider Business Mailing Address
First Line : 269 GOODRIDGE TER
Second Line :
City : ROSELLE
State : IL
Zip : 60172-3536
Country : US
Telephone Number : 630-290-6939
Fax Number :
Provider Business Practice Location Address
First Line : 3943 W 31ST ST
Second Line :
City : CHICAGO
State : IL
Zip : 60623-4936
Country : US
Telephone Number : 773-523-8773
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/23/2016
Last Update Date : 10/21/2017

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