Individual
MR. MARK JOHN PIOTROWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036108737
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01623492
BCBS
IL
05
—
036108737
—
IL
01
—
571890
MEDICARE GROUP NUMBER
IL
01
—
K00008
MEDICARE
IL
Enumeration date
09/02/2006
Last updated
03/05/2008
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