Healthcare Provider Details

I. General information

NPI: 1679791834
Provider Name (Legal Business Name): EM STRATEGIES,LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 07/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 SILVER CROSS BLVD
NEW LENOX IL
60451-9509
US

IV. Provider business mailing address

PO BOX 1027
BEDFORD PARK IL
60499-1027
US

V. Phone/Fax

Practice location:
  • Phone: 815-300-1100
  • Fax: 815-300-3567
Mailing address:
  • Phone: 877-485-4474
  • Fax: 405-341-9217

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number036073719
License Number StateIL

VIII. Authorized Official

Name: DAVID J MIKOLAJCZAK
Title or Position: PRESIDENT
Credential: DO
Phone: 815-953-8692