MEDICARE: WOJCIECH ORNOWSKI MD PC

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
1	207R00000X	Internal Medicine Physician	036094416	IL
2	207RS0012X	Sleep Medicine (Internal Medicine) Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447376330
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOJCIECH ORNOWSKI MD PC

Provider Business Mailing Address
First Line	:	16105 LA SALLE ST
Second Line	:
City	:	SOUTH HOLLAND
State	:	IL
Zip	:	60473-2064
Country	:	US
Telephone Number	:	708-566-4134
Fax Number	:	708-713-4143

Provider Business Practice Location Address
First Line	:	16105 LA SALLE ST
Second Line	:
City	:	SOUTH HOLLAND
State	:	IL
Zip	:	60473-2064
Country	:	US
Telephone Number	:	708-566-4134
Fax Number	:	708-713-4143

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. WOJCIECH ORNOWSKI
Credential	:	MD
Telephone Number	:	708-566-4134

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	12/21/2020

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