Organization
COMPREHENSIVE PEDIATRIC CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIOLA JACKOWSKI M.D (M.D)
(224) 404-6000
Entity
Organization
Contact information
Practice address
657 E. GOLF RD, SUITE 309, ARLINGTON HEIGHTS, IL 60005-4968
(224) 404-6000
(773) 774-0019
Mailing address
657 E. GOLF RD, SUITE 309, ARLINGTON HEIGHTS, IL 60005-4968
(224) 404-6000
(773) 774-0019
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036118003
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036118003
—
IL
Enumeration date
02/15/2008
Last updated
10/18/2023
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