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NPI Code Detail

MEDICARE: ELZBIETA MARIA STOJKOWSKI DDS

MEDICARE:   ELZBIETA MARIA STOJKOWSKI  DDS
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
11223G0001XGeneral Practice Dentistry019.031258IL

General Provider Information

NPI Number : 1609376029
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELZBIETA MARIA STOJKOWSKI DDS
Provider Business Mailing Address
First Line : 1420 CHIPPEWA PATHWAY
Second Line :
City : RIVERWOODS
State : IL
Zip : 60015-1611
Country : US
Telephone Number : 773-307-0208
Fax Number :
Provider Business Practice Location Address
First Line : 5613 W IRVING PARK RD
Second Line :
City : CHICAGO
State : IL
Zip : 60634-2740
Country : US
Telephone Number : 773-286-4030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2018
Last Update Date : 02/13/2018

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Directions to “ ELZBIETA MARIA STOJKOWSKI DDS” Practice Location

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