Healthcare Provider Details

I. General information

NPI: 1396664272
Provider Name (Legal Business Name): POLISH AMERICAN COMMUNITY RESOURCE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7047 W ADDISON ST
CHICAGO IL
60634-3616
US

IV. Provider business mailing address

3727 N NEW ENGLAND AVE
CHICAGO IL
60634-2345
US

V. Phone/Fax

Practice location:
  • Phone: 773-934-9831
  • Fax: 872-946-7037
Mailing address:
  • Phone: 773-934-9831
  • Fax: 872-946-7037

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LILIANNA WLADYKA
Title or Position: PRESIDENT
Credential:
Phone: 773-934-9831