Individual
PAUL STANLEY SZEWCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4900 W MAIN ST, BELLEVILLE, IL 62226-4725
(618) 235-2400
(618) 235-0900
Mailing address
4900 W MAIN ST, BELLEVILLE, IL 62226-4725
(618) 235-2400
(618) 235-0900
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036070355
IL
207W00000X
Ophthalmology Physician
R1P82
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08215191
BCBS
IL
01
—
180007717
RR MEDICARE
—
Enumeration date
09/21/2005
Last updated
09/10/2014
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