Individual
JOSEPHINE DLUGOPOLSKI-GACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2160 S FIRST AVE, (9608 ROBERTS RD, HICKORY HILLS, ILLINOIS 60457), MAYWOOD, IL 60153
(708) 233-5333
(708) 233-5348
Mailing address
2160 S FIRST AVE, (9608 ROBERTS RD, HICKORY HILLS, ILLINOIS 60457), MAYWOOD, IL 60153
(708) 233-5333
(708) 233-5348
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36112666
IL
208000000X
Pediatrics Physician
36112666
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36112666
—
IL
Enumeration date
01/25/2006
Last updated
06/28/2021
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