# JEROME G ZWIERZYCKI MD SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114249174
- **Authorized official:** DR. JEROME G ZWIERZYCKI MD (OWNER/PHYSICIAN)
- **Authorized official phone:** (847) 444-0486

## Contact information

- **Practice address:** 420 LAKE COOK RD, SUITE 106, DEERFIELD, IL 60015-5646
- **Practice address phone:** (847) 444-0486
- **Practice address fax:** (847) 444-0487
- **Mailing address:** 420 LAKE COOK RD, SUITE 106, DEERFIELD, IL 60015-5646
- **Mailing address phone:** (847) 444-0486
- **Mailing address fax:** (847) 444-0487

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036-071997 | IL | Yes |

## Other

- **Enumeration date:** 02/18/2010
- **Last updated:** 11/02/2016