MEDICARE: ROBERT S CZEPIEL 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	207Q00000X	Family Medicine Physician	036096075	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
2	2222385	OTHER	IL	BCBS

General Provider Information

NPI Number	:	1538156294
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT S CZEPIEL MD

Provider Business Mailing Address
First Line	:	2007 95TH ST
Second Line	:	STE 105
City	:	NAPERVILLE
State	:	IL
Zip	:	60563-7802
Country	:	US
Telephone Number	:	630-646-6920
Fax Number	:	630-646-6925

Provider Business Practice Location Address
First Line	:	2007 95TH ST
Second Line	:	STE 105
City	:	NAPERVILLE
State	:	IL
Zip	:	60563-7802
Country	:	US
Telephone Number	:	630-646-6920
Fax Number	:	630-646-6925

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

Provider Enumeration Date	:	09/28/2005
Last Update Date	:	03/16/2021

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