MEDICARE: DR. SYLWIA DOMINIKA SZEWCZYK O.D

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	152W00000X	Optometrist	046.009890	IL

General Provider Information

NPI Number	:	1568569614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SYLWIA DOMINIKA SZEWCZYK O.D

Provider Business Mailing Address
First Line	:	1211 S PRAIRIE AVE
Second Line	:	APT 1805
City	:	CHICAGO
State	:	IL
Zip	:	60605-3652
Country	:	US
Telephone Number	:	773-774-2200
Fax Number	:	773-774-2211

Provider Business Practice Location Address
First Line	:	5526 N MILWAUKEE AVE UNIT B
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60630-1227
Country	:	US
Telephone Number	:	773-774-2200
Fax Number	:	773-774-2211

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

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	04/23/2019

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