# DRS SZEWCZYK & NEKOLA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Szewczyk Szewczyk Nekola MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336363431
- **Authorized official:** DR. PAUL S SZEWCZYK MD (PARTNER)
- **Authorized official phone:** (618) 235-2400

## Contact information

- **Practice address:** 4900 WEST MAIN STREET, BELLEVILLE, IL 62226-4725
- **Practice address phone:** (618) 235-2400
- **Practice address fax:** (618) 235-0900
- **Mailing address:** 4900 WEST MAIN STREET, BELLEVILLE, IL 62226-4725
- **Mailing address phone:** (618) 235-2400
- **Mailing address fax:** (618) 235-0900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 036092365 | IL | Yes |

## Other

- **Enumeration date:** 04/12/2007
- **Last updated:** 01/10/2012

## 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 | — |