Individual
AMANDA MROCZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4025 N WESTERN AVE BLDG E, CHICAGO, IL 60618-3726
(773) 275-7700
(773) 279-6504
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036160979
IL
207Q00000X
Family Medicine Physician
1972066751
IL
Other
Enumeration date
04/09/2019
Last updated
10/21/2022
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