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NPI Code Detail

MEDICARE: DOROTA M. FILIPIUK M.D.

MEDICARE: DOROTA M. FILIPIUK M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician036100896IL

General Provider Information

NPI Number : 1104810456
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOROTA M. FILIPIUK M.D.
Provider Business Mailing Address
First Line : 355 RIDGE AVE
Second Line :
City : EVANSTON
State : IL
Zip : 60202-3328
Country : US
Telephone Number : 847-316-2284
Fax Number : 847-316-2943
Provider Business Practice Location Address
First Line : 355 RIDGE AVE
Second Line :
City : EVANSTON
State : IL
Zip : 60202-3328
Country : US
Telephone Number : 847-316-2284
Fax Number : 847-316-2943
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2005
Last Update Date : 08/27/2014

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