MEDICARE: OSWIECIMSKI, LTD

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

General Provider Information

NPI Number	:	1518909829
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OSWIECIMSKI, LTD

Provider Business Mailing Address
First Line	:	13305 S RIDGELAND AVE
Second Line	:	UNIT A
City	:	PALOS HEIGHTS
State	:	IL
Zip	:	60463-1808
Country	:	US
Telephone Number	:	708-388-0999
Fax Number	:	708-388-0992

Provider Business Practice Location Address
First Line	:	13305 S RIDGELAND AVE
Second Line	:	UNIT A
City	:	PALOS HEIGHTS
State	:	IL
Zip	:	60463-1808
Country	:	US
Telephone Number	:	708-388-0999
Fax Number	:	708-388-0992

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. MARGARET OSWIECIMSKI
Credential	:	MD
Telephone Number	:	708-388-0999

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	04/02/2008

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