# MARIUSZ ROGALSKI, MD, SC

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

## Provider details

- **NPI number:** 1477705440
- **Authorized official:** DR. MARIUSZ ROGALSKI M.D. (PRESIDENT)
- **Authorized official phone:** (630) 418-5050

## Contact information

- **Practice address:** 16001 EXECUTIVE DR, CREST HILL, IL 60403-0500
- **Practice address phone:** (630) 418-5050
- **Mailing address:** 16001 EXECUTIVE DR, CREST HILL, IL 60403-0500
- **Mailing address phone:** (630) 418-5050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | 036108775 | IL | Yes |

## Other

- **Enumeration date:** 10/21/2008
- **Last updated:** 10/22/2008