Healthcare Provider Details

I. General information

NPI: 1295752202
Provider Name (Legal Business Name): PAUL PAPIERSKI MD LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 10/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 TRANSAM PLAZA DR SUITE 460
OAKBROOK TERRACE IL
60181-4822
US

IV. Provider business mailing address

2000 E ALGONQUIN RD SUITE 109
SCHAUMBURG IL
60173-4189
US

V. Phone/Fax

Practice location:
  • Phone: 630-317-7007
  • Fax: 630-317-7088
Mailing address:
  • Phone: 847-303-5790
  • Fax: 847-303-5795

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number36076397
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code2086S0105X
TaxonomySurgery of the Hand (Surgery) Physician
License Number036076397
License Number StateIL

VIII. Authorized Official

Name: MRS. STACY G HENDRON
Title or Position: CREDENTIALING COORDINATOR
Credential:
Phone: 708-237-7334