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Organization
DRS SZEWCZYK & NEKOLA LLC
Active
Organization
DRS SZEWCZYK & NEKOLA LLC
Active
Other names
Szewczyk Szewczyk Nekola MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL S SZEWCZYK MD (PARTNER)
(618) 235-2400
Entity
Organization
Contact information
Practice address
4900 WEST MAIN STREET, BELLEVILLE, IL 62226-4725
(618) 235-2400
(618) 235-0900
Mailing address
4900 WEST MAIN STREET, BELLEVILLE, IL 62226-4725
(618) 235-2400
(618) 235-0900
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036092365
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036031388
—
IL
05
—
036070355
—
IL
05
—
036092365
—
IL
01
—
08215191
BCBS
—
01
—
CB0524
RR MEDICARE
—
01
—
G55037
UPIN NUMBER
IL
01
—
L59429
PIN
—
01
—
P00761
PIN
—
01
—
P00762
PIN
—
Enumeration date
04/12/2007
Last updated
01/10/2012
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