Organization
BEATA I STYKA MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEATA I STYKA M.D. SC (OWNER)
(708) 448-5500
Entity
Organization
Contact information
Practice address
12130 S HARLEM AVE, STE B, PALOS HEIGHTS, IL 60463-1458
(708) 448-5500
(708) 448-5501
Mailing address
12130 S HARLEM AVE, STE B, PALOS HEIGHTS, IL 60463-1458
(708) 448-5500
(708) 448-5501
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
036100524
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
215531
MEDICARE GROUP NUMBER
IL
Enumeration date
06/13/2007
Last updated
03/23/2020
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