Lukasz J. Sidorowicz

Surgical Physician Assistant · Berwyn, IL

Individual Active NPI

NPI number 1124236971

Practice location

3249 Oak Park Ave
Berwyn, IL 60402-3429
Phone
(773) 502-4221
Fax
(773) 404-2086

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NPI record

NPI
1124236971
Entity type
Individual (Type 1)
Enumeration date
May 17, 2007
Last updated
December 8, 2009
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgical Physician Assistant Primary 363AS0400X 238.000043 IL

Mailing address

PO Box 56341
Chicago, IL 60656-0341
Phone
(708) 867-4949
Fax
(708) 867-4981

About Lukasz Sidorowicz

Lukasz J. Sidorowicz is a healthcare provider registered in the NPI registry with the primary taxonomy Surgical Physician Assistant (code 363AS0400X). The practice location is 3249 Oak Park Ave, Berwyn, IL 60402-3429. The NPI number 1124236971 was assigned on May 17, 2007 and the record was last updated on December 8, 2009.

Lukasz Sidorowicz lists a license in the registry: #238.000043 (IL) for Surgical Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lukasz J. Sidorowicz?

The NPI number is 1124236971.

What is the phone number of Lukasz Sidorowicz?

The phone number listed for the practice location is (773) 502-4221.

Where is Lukasz Sidorowicz located?

3249 Oak Park Ave, Berwyn, IL 60402-3429.

What is the taxonomy code for Lukasz Sidorowicz?

The primary taxonomy code is 363AS0400X – Surgical Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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