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Individual

JACEK WESOLOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
4440 W 95TH ST STE 1128M, OAK LAWN, IL 60453-2600
(312) 609-0300
(708) 684-3070
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
(847) 390-4757

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209021812
IL

Other

Enumeration date
09/07/2020
Last updated
07/29/2025
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