Healthcare Provider Details

I. General information

NPI: 1467711796
Provider Name (Legal Business Name): LUKASZ DABROWSKI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2012
Last Update Date: 06/10/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3106 OUTER DR
MARION IL
62959-5270
US

IV. Provider business mailing address

PO BOX 3988
CARBONDALE IL
62902-3988
US

V. Phone/Fax

Practice location:
  • Phone: 618-997-4332
  • Fax: 618-969-8628
Mailing address:
  • Phone: 618-457-5200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number036138059
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: