Individual
ALICJA B POLESZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7740 W NORTH AVE, ELMWOOD PARK, IL 60707-4124
(708) 456-3200
(708) 456-3427
Mailing address
7740 W NORTH AVE, ELMWOOD PARK, IL 60707-4124
(708) 456-3200
(708) 456-3427
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-100964
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036100964
—
IL
01
—
1634704
BC/BS
IL
Enumeration date
05/20/2006
Last updated
01/19/2010
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