Organization
NOWOBILSKA MEDICAL PRACTICE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CASEY MALIK (ADMINISTRATOR)
(773) 735-8182
Entity
Organization
Contact information
Practice address
5257 S CICERO AVE, CHICAGO, IL 60632-4915
(773) 735-8038
(800) 640-0772
Mailing address
5257 S CICERO AVE, CHICAGO, IL 60632-4915
(773) 735-8038
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
036070270
IL
Other
Enumeration date
10/28/2010
Last updated
02/09/2011
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