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Organization
URSULA GIERLACHOWSKI MD
Active
Organization
URSULA GIERLACHOWSKI MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
URSULA GIERLACHOWSKI MD (OWNER)
(773) 581-6336
Entity
Organization
Contact information
Practice address
5332 S ARCHER AVE, CHICAGO, IL 60632-4949
(773) 581-6336
Mailing address
5332 S ARCHER AVE, CHICAGO, IL 60632-4949
(773) 581-6336
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01605562
BCBS
IL
01
—
1679629976
INDIVIDUAL NPI
—
Enumeration date
10/17/2007
Last updated
02/25/2008
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