Organization
DEBRA L. JARYSZAK, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA L JARYSZAK M.D. (PRESIDENT)
(847) 531-8800
Entity
Organization
Contact information
Practice address
1975 LIN LOR LN, SUITE 195, ELGIN, IL 60123-4902
(847) 531-8800
(847) 531-8680
Mailing address
1975 LIN LOR LN, SUITE 195, ELGIN, IL 60123-4902
(847) 531-8800
(847) 531-8680
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04532167
BLUE CROSS BLUE SHIELD
IL
Enumeration date
07/04/2006
Last updated
08/22/2020
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