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Individual

DR. JAROSLAW B DZWINYK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5215 N CALIFORNIA AVE, STE. 804, CHICAGO, IL 60625-7014
(773) 878-8200
(847) 520-9190
Mailing address
2740 W FOSTER AVE, LL7, CHICAGO, IL 60625-3500
(773) 878-8200
(773) 293-4197

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036068424
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036068424
IL
01
1619562
BC/BS
IL
01
200017095
MEDICARE RAILROAD
IL
01
40612079
PTAN
Enumeration date
08/22/2006
Last updated
04/07/2021
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