Organization
ANDRZEJ P. INDYK, M.D.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDRZEJ P INDYK M.D. (MEDICAL DIRECTOR)
(773) 202-8034
Entity
Organization
Contact information
Practice address
4920 N CENTRAL AVE, SUITE 2A, CHICAGO, IL 60630-2338
(773) 202-8034
(773) 202-8147
Mailing address
4920 N CENTRAL AVE, SUITE 2A, CHICAGO, IL 60630-2338
(773) 202-8034
(773) 202-8147
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036089367
—
IL
Enumeration date
07/06/2006
Last updated
03/14/2025
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