Healthcare Provider Details

I. General information

NPI: 1447453717
Provider Name (Legal Business Name): OAK-MILL PEDIATRICS S.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2007
Last Update Date: 06/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7900 N MILWAUKEE AVE STE 2-26
NILES IL
60714-3159
US

IV. Provider business mailing address

7900 N MILWAUKEE AVE STE 2-26
NILES IL
60714-3159
US

V. Phone/Fax

Practice location:
  • Phone: 847-581-1030
  • Fax: 847-581-1441
Mailing address:
  • Phone: 847-581-1030
  • Fax: 847-581-1441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ELZBIETA LOJEWSKI
Title or Position: PRESIDENT
Credential: MD
Phone: 847-581-1030