Individual
MAREK J PISZCZATOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-6000
Mailing address
5484 W HIGGINS AVE, APT 2A, CHICAGO, IL 60630-2148
(773) 225-6768
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209013981
IL
Other
Enumeration date
08/25/2016
Last updated
04/28/2021
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