Healthcare Provider Details

I. General information

NPI: 1043771520
Provider Name (Legal Business Name): KAROLINA AGATA PLONOWSKA-HIRSCHFELD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2019
Last Update Date: 09/07/2025
Certification Date: 09/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1009 S WOOD ST
CHICAGO IL
60612-3747
US

IV. Provider business mailing address

PO BOX 7412011
CHICAGO IL
60674-2011
US

V. Phone/Fax

Practice location:
  • Phone: 314-362-7509
  • Fax: 314-362-7522
Mailing address:
  • Phone: 314-362-7509
  • Fax: 314-362-7522

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number036176670
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: