<Unavail>

LBN: Waldemar Mysiak Md Sc
<Unavail> is an health care organization with primary practice located at 755 S Milwaukee Ave Ste 261 , Libertyville IL 60048-3266. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Waldemar Mysiak Md Sc can be contacted via phone (847) 281-1100, or through Mysiak, Waldemar via phone (847) 281-1100.

Contact Information

Primary practice address
755 S Milwaukee Ave Ste 261 Libertyville IL 60048-3266
Phone: (847) 281-1100
Fax: (847) 281-1300
Website:
Map and Directions
Authorized official contact:
Name: Mysiak, Waldemar Doctor of Medicine (MD)
Phone: (847) 281-1100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1508163031
LBN Legal business name Waldemar Mysiak Md Sc
DBA Doing business as <Unavail>
Authorized official Mysiak, Waldemar Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 18th, 2011
Last updated Feb 18th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508163031 NPPES
Illinois MEDICAID 036099938

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