MEDICARE: DR. JULITA SADOWSKI MD

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	207Q00000X	Family Medicine Physician	036075593	IL

General Provider Information

NPI Number	:	1508818659
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULITA SADOWSKI MD

Provider Business Mailing Address
First Line	:	6109 N NORTHWEST HWY
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60631-2127
Country	:	US
Telephone Number	:	773-594-1109
Fax Number	:	773-594-1162

Provider Business Practice Location Address
First Line	:	6109 N NORTHWEST HWY
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60631-2127
Country	:	US
Telephone Number	:	773-594-1109
Fax Number	:	773-594-1162

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	07/08/2007

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