MEDICARE: PAWEL SARATA MD SC

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	36108386	IL

General Provider Information

NPI Number	:	1710161625
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAWEL SARATA MD SC

Provider Business Mailing Address
First Line	:	5122 W IRVING PARK RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60641-2624
Country	:	US
Telephone Number	:	773-282-7952
Fax Number	:	773-282-6158

Provider Business Practice Location Address
First Line	:	5122 W IRVING PARK RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60641-2624
Country	:	US
Telephone Number	:	773-282-7952
Fax Number	:	773-282-6158

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. PAWEL J SARATA
Credential	:	M.D.
Telephone Number	:	312-593-3474

Provider Enumeration Date	:	12/27/2007
Last Update Date	:	12/27/2007

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