Individual
DR. HENRYK ROZTOCZYNSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
6157 W BELMONT AVE, CHICAGO, IL 60634-4004
(773) 745-8434
(773) 745-3443
Mailing address
6157 W BELMONT AVE, CHICAGO, IL 60634-4004
(773) 745-8434
(773) 745-3443
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
036058369
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036058369
—
IL
01
—
31600059
BCBS
IL
Enumeration date
11/02/2006
Last updated
07/08/2007
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