Individual
DR. JOSEPH W MULARCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2850 W 95TH ST, SUITE 305, EVERGREEN PARK, IL 60805-2735
(708) 425-7272
(708) 422-6273
Mailing address
2850 W 95TH ST, SUITE 305, EVERGREEN PARK, IL 60805-2735
(708) 425-7272
(708) 422-6273
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036062043
IN
207RC0000X
Cardiovascular Disease Physician
Primary
036062043
IL
2085U0001X
Diagnostic Ultrasound Physician
036062043
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036062043
—
IL
01
—
060016277
RAILROAD MEDICARE B
IL
Enumeration date
07/25/2006
Last updated
09/19/2022
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