Organization
CHICAGO PULMONARY AND SLEEP DISORDERS INSTITUTE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACEK H PIETA MD (OWNER/PHYSICIAN)
(630) 338-9366
Entity
Organization
Contact information
Practice address
1742 S LA LONDE AVE, LOMBARD, IL 60148-3537
(630) 338-9366
Mailing address
1742 S LA LONDE AVE, LOMBARD, IL 60148-3537
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
036087837
IL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
036087837
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042620236
BUSINESS
IL
Enumeration date
02/23/2015
Last updated
03/24/2016
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