Walczyk, Marek

Walczyk, Marek is an individual health care provider with primary practice located at 5519 N. Cumberland Ave. Ste 1016, Chicago IL 60656-0000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Walczyk, Marek can be contacted via phone (708) 224-8840.

Contact Information

Primary practice address
5519 N. Cumberland Ave. Ste 1016 Chicago IL 60656-0000
Phone: (708) 224-8840
Fax: (773) 594-7720
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 36107779 Illinois

Profile Details

NPI number 1447243373
LBN Legal business name Walczyk, Marek
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Jan 20th, 2009 - about 17 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 1447243373 NPPES
Illinois MEDICAID 020363109
Illinois Other 1632658

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