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NPI Code Detail

MEDICARE: JAREMA SCZESNY CZARNECKI DO

MEDICARE:   JAREMA SCZESNY CZARNECKI  DO
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
1207P00000XEmergency Medicine Physician036179368IL

General Provider Information

NPI Number : 1962197012
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAREMA SCZESNY CZARNECKI DO
Provider Business Mailing Address
First Line : 530 NE GLEN OAK AVE
Second Line :
City : PEORIA
State : IL
Zip : 61637-0001
Country : US
Telephone Number : 309-655-2109
Fax Number :
Provider Business Practice Location Address
First Line : 530 NE GLEN OAK AVE
Second Line :
City : PEORIA
State : IL
Zip : 61637-0001
Country : US
Telephone Number : 309-655-2109
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2023
Last Update Date : 05/11/2026

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Directions to “ JAREMA SCZESNY CZARNECKI DO” Practice Location

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