Rewerski, Stanislaw

Rewerski, Stanislaw is an individual health care provider with primary practice located at 403 E 1St St , Dixon IL 61021-3116. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Rewerski, Stanislaw can be contacted via phone (815) 285-5629.

Contact Information

Primary practice address
403 E 1St St Dixon IL 61021-3116
Phone: (815) 285-5629
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-084832 Illinois
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036084832 Illinois

Profile Details

NPI number 1831188317
LBN Legal business name Rewerski, Stanislaw
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Jul 21st, 2022 - about 4 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 1831188317 NPPES
Wisconsin MEDICAID 34604400
Wisconsin MEDICAID 036084832

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