Healthcare Provider Details

I. General information

NPI: 1932191905
Provider Name (Legal Business Name): ANDRZEJ SOWINSKI MEDICAL OFFICES SC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2005
Last Update Date: 03/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 W WISE RD SUITE 100
SCHAUMBURG IL
60193-3746
US

IV. Provider business mailing address

PO BOX 95509
HOFFMAN ESTATES IL
60195-0509
US

V. Phone/Fax

Practice location:
  • Phone: 847-923-0011
  • Fax: 847-923-0713
Mailing address:
  • Phone: 847-923-0011
  • Fax: 847-923-0713

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: ANDRZEJ A SOWINSKI
Title or Position: OWNER/PHYSICIAN
Credential: M.D.
Phone: 847-923-0011