Healthcare Provider Details

I. General information

NPI: 1215957097
Provider Name (Legal Business Name): PETER HRABSKI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 N OAK ST
HINSDALE IL
60521-3829
US

IV. Provider business mailing address

1259 HAMILTON LN
NAPERVILLE IL
60540-8377
US

V. Phone/Fax

Practice location:
  • Phone: 630-856-9000
  • Fax:
Mailing address:
  • Phone: 630-527-9744
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: