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NPI Code Detail

MEDICARE: TERESA J POPRAWSKI M.D.

MEDICARE:   TERESA J POPRAWSKI  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
12084N0402XNeurology with Special Qualifications in Child Neurology Physician036-115766IL
22084P0800XPsychiatry Physician036-115766IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2216421OTHERILMEDICARE GROUP

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1209551OTHERILGROUP NUMBER

General Provider Information

NPI Number : 1861611345
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERESA J POPRAWSKI M.D.
Provider Business Mailing Address
First Line : 1100 JORIE BLVD STE 300
Second Line :
City : OAK BROOK
State : IL
Zip : 60523-2219
Country : US
Telephone Number : 847-877-0454
Fax Number : 630-974-6602
Provider Business Practice Location Address
First Line : 1100 JORIE BLVD STE 300
Second Line :
City : OAK BROOK
State : IL
Zip : 60523-2219
Country : US
Telephone Number : 847-877-0454
Fax Number : 630-974-6602
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2007
Last Update Date : 11/13/2023

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Directions to “ TERESA J POPRAWSKI M.D.” Practice Location

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