Individual
ANDRZEJ M JASEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5875 E RIVERSIDE BLVD, ROCKFORD, IL 61114-4937
(815) 398-9491
Mailing address
PO BOX 735263, CHICAGO, IL 60673-5263
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
036-092808
IL
207RR0500X
Rheumatology Physician
41875
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036092808 1
—
IL
05
—
32287100
—
WI
Enumeration date
11/16/2006
Last updated
10/31/2023
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