Individual
DR. ROBERT STEPHEN NIERZWICKI
Active
Individual
DR. ROBERT STEPHEN NIERZWICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036123450
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036123450
—
IL
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
206147125
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
06/10/2008
Last updated
06/03/2024
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