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Individual

MR. MARK JOHN PIOTROWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1100 W CENTRAL RD, SUITE 205, ARLINGTON HEIGHTS, IL 60005
(847) 253-4040
(847) 253-3028
Mailing address
1100 W CENTRAL RD, SUITE 205, ARLINGTON HEIGHTS, IL 60005
(847) 253-4040
(847) 253-3028

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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