Chwastowska, Eva M

Chwastowska, Eva M is an individual health care provider with primary practice located at 25 N Winfield Rd , Winfield IL 60190-1222. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Chwastowska, Eva M can be contacted via phone (630) 933-2113.

Contact Information

Primary practice address
25 N Winfield Rd Winfield IL 60190-1222
Phone: (630) 933-2113
Fax: (630) 933-4520
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9110584 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085002907 Illinois

Profile Details

NPI number 1932240405
LBN Legal business name Chwastowska, Eva M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2007
Last updated Nov 14th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932240405 NPPES
Illinois Other 206147 MEDICARE PTAN (GROUP)
Illinois Other 206147028 MEDICARE PTAN (GROUP)
Illinois MEDICAID 100288300 MEDICARE PTAN (GROUP)

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