Individual
DR. ADAM EDWARD MIKOLAJCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1801 W TAYLOR ST STE 1B, CHICAGO, IL 60612-4795
(312) 996-7598
Mailing address
840 S WOOD ST, CHICAGO, IL 60612-4325
(312) 996-6292
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.059372
IL
207RG0100X
Gastroenterology Physician
Primary
036.135065
IL
Other
Enumeration date
06/22/2011
Last updated
03/22/2019
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