Provider Demographics
NPI:1033309653
Name:PIOTROWSKI, ROBERT PIOTR (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:PIOTR
Last Name:PIOTROWSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3936 N MILWAUKEE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60641
Mailing Address - Country:US
Mailing Address - Phone:773-736-6125
Mailing Address - Fax:773-736-9626
Practice Address - Street 1:3936 N MILWAUKEE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60641
Practice Address - Country:US
Practice Address - Phone:773-736-6125
Practice Address - Fax:773-736-9629
Is Sole Proprietor?:No
Enumeration Date:2007-07-30
Last Update Date:2022-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036122174207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine