Individual
ADAM MAREK BIZUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
8107 W 89TH ST, HICKORY HILLS, IL 60457-1454
(570) 801-2179
Mailing address
8107 W 89TH ST, HICKORY HILLS, IL 60457-1454
(570) 801-2179
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041463804
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209030037
IL
Other
Enumeration date
08/26/2022
Last updated
07/11/2024
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