MEDICARE: DR. MALGORZATA PRESSEN 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	208000000X	Pediatrics Physician	036-102602	IL

General Provider Information

NPI Number	:	1518035815
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MALGORZATA PRESSEN MD

Provider Business Mailing Address
First Line	:	1405 N ALTHEA LN
Second Line	:
City	:	MOUNT PROSPECT
State	:	IL
Zip	:	60056-1745
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6416 W BELMONT AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60634-3921
Country	:	US
Telephone Number	:	773-725-5400
Fax Number	:	773-725-4707

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

Provider Enumeration Date	:	12/04/2006
Last Update Date	:	07/08/2007

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