Sidorowicz, Lukasz J

Sidorowicz, Lukasz J is an individual health care provider with primary practice located at 3249 Oak Park Ave , Berwyn IL 60402-3429. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Sidorowicz, Lukasz J can be contacted via phone (773) 502-4221.

Contact Information

Primary practice address
3249 Oak Park Ave Berwyn IL 60402-3429
Phone: (773) 502-4221
Fax: (773) 404-2086
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 238.000043 Illinois

Profile Details

NPI number 1124236971
LBN Legal business name Sidorowicz, Lukasz J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Dec 8th, 2009 - about 13 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 1124236971 NPPES
Illinois Other 01637103 BLUE CROSS BLUE SHIELD OF IL

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