Provider Demographics
NPI:1083723159
Name:WARSHAWSKY, PAUL OSCAR (MEDICAL DOCTOR)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:OSCAR
Last Name:WARSHAWSKY
Suffix:
Gender:M
Credentials:MEDICAL DOCTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8707 SKOKIE BLVD
Mailing Address - Street 2:#112
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077
Mailing Address - Country:US
Mailing Address - Phone:847-673-7400
Mailing Address - Fax:847-673-7635
Practice Address - Street 1:8707 SKOKIE BLVD
Practice Address - Street 2:#112
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077
Practice Address - Country:US
Practice Address - Phone:847-673-7400
Practice Address - Fax:847-673-7635
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
L65641Medicare UPIN
ILL65641Medicare ID - Type Unspecified