Individual
TERESA J POPRAWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1100 JORIE BLVD STE 300, OAK BROOK, IL 60523-2219
(847) 877-0454
(630) 974-6602
Mailing address
1100 JORIE BLVD STE 300, OAK BROOK, IL 60523-2219
(847) 877-0454
(630) 974-6602
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
036-115766
IL
2084P0800X
Psychiatry Physician
Primary
036-115766
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209551
GROUP NUMBER
IL
01
—
216421
MEDICARE GROUP
IL
Enumeration date
04/24/2007
Last updated
11/13/2023
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