Individual
MRS. CAROLE GORECKI FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
25 N WINFIELD RD, WINFIELD, IL 60190-1295
(630) 933-4700
(630) 933-4427
Mailing address
25 N WINFIELD RD, WINFIELD, IL 60190-1295
(630) 933-4700
(630) 933-4427
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036125308
IL
208M00000X
Hospitalist Physician
Primary
036125308
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036125308
—
IL
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
206147026
MEDICARE PTAN (INDIVIDUAL)
IL
01
—
CA4748
RR MEDICARE PTAN (GROUP)
IL
01
—
P00884752
RR MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
07/15/2008
Last updated
01/18/2018
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