MEDICARE: NEW YOU CHICAGO PLLC

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

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	:	1538495593
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW YOU CHICAGO PLLC

Provider Business Mailing Address
First Line	:	5545 N MILWAUKEE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60630-1226
Country	:	US
Telephone Number	:	773-792-8181
Fax Number	:	773-631-9397

Provider Business Practice Location Address
First Line	:	5545 N MILWAUKEE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60630-1226
Country	:	US
Telephone Number	:	773-792-8181
Fax Number	:	773-631-9397

Authorized Official
Title or Position	:	MEDICAL DOCTOR
Name	:	MRS. BEATA DANEK
Credential	:	MD
Telephone Number	:	773-792-8181

Provider Enumeration Date	:	10/27/2009
Last Update Date	:	10/06/2022

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Directions to “NEW YOU CHICAGO PLLC ” Practice Location

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