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NPI Code Detail

MEDICARE: DR. KATARZYNA M ALESZCZYK VARNEY O.D

MEDICARE: DR. KATARZYNA M ALESZCZYK VARNEY O.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
1152W00000XOptometrist046010677IL

General Provider Information

NPI Number : 1699114116
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATARZYNA M ALESZCZYK VARNEY O.D
Provider Business Mailing Address
First Line : 1444 S MICHIGAN AVE
Second Line : SUITE B
City : CHICAGO
State : IL
Zip : 60605-4827
Country : US
Telephone Number : 312-588-5999
Fax Number : 312-588-0599
Provider Business Practice Location Address
First Line : 1444 S MICHIGAN AVE
Second Line : SUITE B
City : CHICAGO
State : IL
Zip : 60605-4827
Country : US
Telephone Number : 312-588-5999
Fax Number : 312-588-0599
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2013
Last Update Date : 06/04/2015

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