MEDICARE: ANDRZEJ A SOWINSKI 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
1	208D00000X	General Practice Physician	036-096853	IL
2	208100000X	Physical Medicine & Rehabilitation Physician	036-096853	IL

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	:	1588656557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDRZEJ A SOWINSKI M.D.

Provider Business Mailing Address
First Line	:	PO BOX 95509
Second Line	:
City	:	HOFFMAN ESTATES
State	:	IL
Zip	:	60195-0509
Country	:	US
Telephone Number	:	847-923-0011
Fax Number	:	847-923-0713

Provider Business Practice Location Address
First Line	:	1025 W WISE RD
Second Line	:	SUITE 100
City	:	SCHAUMBURG
State	:	IL
Zip	:	60193-3746
Country	:	US
Telephone Number	:	847-923-0011
Fax Number	:	847-923-0713

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

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	04/23/2021

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