1932191905 NPI number — ANDRZEJ SOWINSKI MEDICAL OFFICES SC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932191905 NPI number — ANDRZEJ SOWINSKI MEDICAL OFFICES SC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ANDRZEJ SOWINSKI MEDICAL OFFICES SC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932191905
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/10/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 95509
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOFFMAN ESTATES
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60195-0509
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
847-923-0011
Provider Business Mailing Address Fax Number:
847-923-0713

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1025 W WISE RD
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
SCHAUMBURG
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60193-3746
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
847-923-0011
Provider Business Practice Location Address Fax Number:
847-923-0713
Provider Enumeration Date:
08/16/2005

Additional Information

Authorized Official

Authorized Official Last Name:
SOWINSKI
Authorized Official First Name:
ANDRZEJ
Authorized Official Middle Name:
A
Authorized Official Title or Position:
OWNER/PHYSICIAN
Authorized Official Telephone Number:
847-923-0011

Provider Taxonomy Codes

  • Taxonomy code: 208100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 208D00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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