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NPI Code Detail

MEDICARE: HELENA PODGORSKA MD

MEDICARE: HELENA PODGORSKA MD
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
1207Q00000XFamily Medicine Physician036089056IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21619414OTHERBCBS GROUP

General Provider Information

NPI Number : 1871674267
Entity Type Code : Individual
Provider Name (Legal Business Name) : HELENA PODGORSKA MD
Provider Business Mailing Address
First Line : 4900 N CUMBERLAND AVE
Second Line :
City : NORRIDGE
State : IL
Zip : 60706-2916
Country : US
Telephone Number : 708-456-1600
Fax Number : 708-456-2809
Provider Business Practice Location Address
First Line : 4900 N CUMBERLAND AVE
Second Line :
City : NORRIDGE
State : IL
Zip : 60706-2916
Country : US
Telephone Number : 708-456-1600
Fax Number : 708-456-2809
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2006
Last Update Date : 04/06/2009

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Directions to “ HELENA PODGORSKA MD” Practice Location

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