Hrycelak, Maria Roma

Hrycelak, Maria Roma is an individual health care provider with primary practice located at 101 S Washington Ave 122, Park Ridge IL 60068-4200. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Hrycelak, Maria Roma can be contacted via phone (847) 692-6628.

Contact Information

Primary practice address
101 S Washington Ave 122 Park Ridge IL 60068-4200
Phone: (847) 692-6628
Fax: (847) 692-6891
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036062812 Illinois

Profile Details

NPI number 1710996988
LBN Legal business name Hrycelak, Maria Roma
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Dec 15th, 2021 - about 5 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 1710996988 NPPES
Illinois MEDICAID 036062812

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