Individual
MS. JUSTYNA E POMIOTLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1401 N WESTERN AVE, CHICAGO, IL 60622-1735
(708) 292-7000
(708) 887-5874
Mailing address
PO BOX 746715, ATLANTA, GA 30374-6715
(708) 292-7000
(708) 887-5874
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
28168329A
IN
363LF0000X
Family Nurse Practitioner
Primary
209.012475
IL
363LF0000X
Family Nurse Practitioner
Primary
277.005097
IL
363LF0000X
Family Nurse Practitioner
71005312A
IN
Other
Enumeration date
11/20/2014
Last updated
04/01/2026
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