MEDICARE: DR. SLAWOMIR URGACZ MD,PHD

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	036110077	IL

General Provider Information

NPI Number	:	1932278959
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SLAWOMIR URGACZ MD,PHD

Provider Business Mailing Address
First Line	:	325 N MILWAUKEE AVE UNIT E-F
Second Line	:
City	:	WHEELING
State	:	IL
Zip	:	60090-3071
Country	:	US
Telephone Number	:	847-459-6308
Fax Number	:	847-459-6423

Provider Business Practice Location Address
First Line	:	325 N MILWAUKEE AVE UNIT E-F
Second Line	:
City	:	WHEELING
State	:	IL
Zip	:	60090-3071
Country	:	US
Telephone Number	:	847-459-6308
Fax Number	:	847-459-6423

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2006
Last Update Date	:	02/26/2026

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