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NPI Code Detail

MEDICARE: SCHAUMBURG MEDICINE AND ENDOCRINOLOGY

MEDICARE: SCHAUMBURG MEDICINE AND ENDOCRINOLOGY
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
1207RE0101XEndocrinology, Diabetes & Metabolism PhysicianIL

General Provider Information

NPI Number : 1982758363
Entity Type Code : Organization
Provider Name (Legal Business Name) : SCHAUMBURG MEDICINE AND ENDOCRINOLOGY
Provider Business Mailing Address
First Line : 2500 W HIGGINS RD STE 640
Second Line :
City : HOFFMAN ESTATES
State : IL
Zip : 60169-2046
Country : US
Telephone Number : 847-895-0440
Fax Number :
Provider Business Practice Location Address
First Line : 1439 W SCHAUMBURG RD
Second Line :
City : SCHAUMBURG
State : IL
Zip : 60194-4051
Country : US
Telephone Number : 847-895-0440
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : PRZEMYSLAW LASTOWIECKI
Credential : M.D.
Telephone Number : 847-895-0440
Provider Enumeration Date : 01/22/2007
Last Update Date : 02/23/2019

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Directions to “SCHAUMBURG MEDICINE AND ENDOCRINOLOGY ” Practice Location

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