Individual
DR. NORA TERESA JASKOWIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5841 S. MARYLAND AVE, MC 5031, CHICAGO, IL 60637
(773) 702-2048
(773) 834-4022
Mailing address
150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036097897
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036097897
STATE MEDICAL LICENSE
IL
Enumeration date
11/08/2006
Last updated
01/16/2025
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