Organization
CHILD, ADOLESCENT, & ADULT PSYCHIATRY SC
Active
Organization
CHILD, ADOLESCENT, & ADULT PSYCHIATRY SC
Active
Parent organization
CHILD ADOLESCENT & ADULT PSYCHIATRY SC
Other names
Slawomir Jan Puszkarski & Lucyna Maria Puszkarska
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILD ADOLESCENT & ADULT PSYCHIATRY SC
Authorized official
MR. SLAWOMIR JAN PUSZKARSKI M.D. (PSYCHIATRIST)
(773) 594-9944
Entity
Organization
Contact information
Practice address
5420 N MILWAUKEE AVE, CHICAGO, IL 60630
(773) 594-9944
(773) 594-9944
Mailing address
5420 N MILWAUKEE AVE, CHICAGO, IL 60630
(773) 594-9944
(773) 594-9944
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036091684
IL
2084P0800X
Psychiatry Physician
036093737
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-091684
—
IL
Enumeration date
05/29/2008
Last updated
08/27/2008
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