Individual
JOANNA PONIATOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1875 DEMPSTER, STE 601, PARK RIDGE, IL 60068
(847) 686-7777
(847) 297-0770
Mailing address
894 S WOLF RD, DES PLAINES, IL 60016
(847) 686-7777
(847) 297-0770
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036105770
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036105770
—
IL
Enumeration date
12/29/2005
Last updated
05/10/2021
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