Mickiewicz, Violetta

Mickiewicz, Violetta is an individual health care provider with primary practice located at 4501 N Winchester Ave 3Rd Floor, Chicago IL 60640-5265. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Mickiewicz, Violetta can be contacted via phone (773) 250-0500.

Contact Information

Primary practice address
4501 N Winchester Ave 3Rd Floor Chicago IL 60640-5265
Phone: (773) 250-0500
Fax: (773) 250-0497
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X Illinois

Profile Details

NPI number 1053427831
LBN Legal business name Mickiewicz, Violetta
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Oct 4th, 2007 - about 19 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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