Elizabeth T Wieckiewicz (NPI# 1659409597, PAC ID# 1355400243) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
Nation Provider ID (NPI) | 1659409597 |
PAC ID by PECOS | 1355400243 |
Professional Enrollment ID | I20081106000735 |
Full Name | Elizabeth T Wieckiewicz |
Address |
5025 W Irving Park Rd Chicago IL 60641-2611 |
Phone Number | 77334208242 |
Gender | F |
Graduation Year | 1968 |
Primary Specialty | FAMILY PRACTICE |
Secondary Specialties | DERMATOLOGY |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
140251 | COMMUNITY FIRST MEDICAL CENTER |
140276 | LOYOLA UNIVERSITY MEDICAL CENTER |
140117 | PRESENCE RESURRECTION MEDICAL CENTER |
140223 | ADVOCATE LUTHERAN GENERAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
5025 W Irving Park Rd, Chicago, IL 60641-2611 | 77334208242 |
Street Address |
5025 W IRVING PARK RD |
City | CHICAGO |
State | IL |
Zip | 60641-2611 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lawrence Marczak | Podiatry | 5511 /2 W Montrose Ave, Chicago, IL 60641-1331 | |
Richard J Dietzen | Chiropractic | Chicago Health and Physical Therapy Center Sc | 5545 W Montrose Ave, Chicago, IL 60641-1331 |
Malgorzata B Szyfer | Family Medicine | 5509 W Montrose Ave, Chicago, IL 60641-1331 | |
Thomas Michael Albert | Internal Medicine | Chicago Health and Physical Therapy Center Sc | 5545 W Montrose Ave, Chicago, IL 60641-1331 |
Lauren Alpert | Physical Therapy | Chicago Health and Physical Therapy Center Sc | 5545 W Montrose Ave, Chicago, IL 60641-1331 |
Kristin R Ballenger | Physical Therapy | Chicago Health and Physical Therapy Center Sc | 5545 W Montrose Ave, Chicago, IL 60641-1331 |
David J Cunningham | Chiropractic | Chicago Health and Physical Therapy Center PC | 5545 W Montrose Ave, Chicago, IL 60641-1331 |
Benjamin Toh | Physical Therapy | Chicago Health and Physical Therapy Center PC | 5545 W Montrose Ave, Chicago, IL 60641-1331 |
Medha M Garud | Physical Therapy | Chicago Health and Physical Therapy Center PC | 5545 W Montrose Ave, Chicago, IL 60641-1331 |
Joel Feder | Podiatry | Affiliated Podiatrists, Ltd. | 4211 N Cicero Ave, Chicago, IL 60641-1649 |
Find all physicians in zip 60641 |
City | CHICAGO |
Zip Code | 60641 |
Specialty | FAMILY PRACTICE |
City + Specialty | CHICAGO + FAMILY PRACTICE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.