Individual
GRZEGORZ BLECHARZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1754 W GOLF RD, MOUNT PROSPECT, IL 60056-4071
(224) 265-9010
Mailing address
1754 W GOLF RD, MOUNT PROSPECT, IL 60056-4071
(224) 265-9010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036128361
IL
207QB0002X
Obesity Medicine (Family Medicine) Physician
87639319
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125053992
STATE LICENSE
IL
Enumeration date
07/08/2008
Last updated
04/06/2021
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