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NPI Code Detail

MEDICARE: MAREK ZAWADZKI M.D.

MEDICARE:   MAREK  ZAWADZKI  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
1363AS0400XSurgical Physician AssistantIL

General Provider Information

NPI Number : 1336449396
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAREK ZAWADZKI M.D.
Provider Business Mailing Address
First Line : 518 W WRIGHTWOOD AVE
Second Line : 2W
City : CHICAGO
State : IL
Zip : 60614-2099
Country : US
Telephone Number : 773-954-2596
Fax Number :
Provider Business Practice Location Address
First Line : 518 W WRIGHTWOOD AVE
Second Line : 2W
City : CHICAGO
State : IL
Zip : 60614-2099
Country : US
Telephone Number : 773-954-2596
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2010
Last Update Date : 10/25/2010

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