Individual
AMY JO PTASZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2401 RAVINE WAY, SUITE 200, GLENVIEW, IL 60025-7645
(847) 998-5680
Mailing address
900 RAND RD STE 300, ATTN: RAQUEL LEON, DES PLAINES, IL 60016-2359
(847) 324-3976
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036-091503
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-091503
—
IL
Enumeration date
05/18/2006
Last updated
08/28/2012
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