Healthcare Provider Details

I. General information

NPI: 1801852322
Provider Name (Legal Business Name): MALGORZATA KRYSTYNA BACH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MALGORZATA KRYSTYNA OCZKO-WALKER

II. Dates (important events)

Enumeration Date: 04/24/2006
Last Update Date: 02/13/2026
Certification Date: 02/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

355 GREENLEAF ST STE H
PARK CITY IL
60085-5708
US

IV. Provider business mailing address

355 GREENLEAF ST STE H
PARK CITY IL
60085-5708
US

V. Phone/Fax

Practice location:
  • Phone: 847-230-7523
  • Fax: 847-999-3859
Mailing address:
  • Phone: 847-230-7523
  • Fax: 847-999-3859

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number036115194
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: