Individual
MR. MAREK WALCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5519 N. CUMBERLAND AVE., STE 1016, CHICAGO, IL 60656-0000
(708) 224-8840
(773) 594-7720
Mailing address
5519 N. CUMBERLAND AVE., STE 1016, CHICAGO, IL 60656-0000
(708) 224-8840
(773) 594-7720
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
36107779
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020363109
—
IL
01
—
1632658
BCBS
IL
Enumeration date
08/25/2005
Last updated
01/20/2009
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