Provider Demographics
NPI:1275527202
Name:POZNANSKI, ANREW K (MD)
Entity Type:Individual
Prefix:DR
First Name:ANREW
Middle Name:K
Last Name:POZNANSKI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2300 CHILDREN'S PLAZA, NO. 9
Mailing Address - Street 2:CHILDREN'S MEMORIAL HOSPITAL
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-3363
Mailing Address - Country:US
Mailing Address - Phone:773-880-6792
Mailing Address - Fax:773-880-3517
Practice Address - Street 1:2300 CHILDREN'S PLAZA, NO. 9
Practice Address - Street 2:CHILDREN'S MEMORIAL HOSPITAL
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-3363
Practice Address - Country:US
Practice Address - Phone:773-880-6792
Practice Address - Fax:773-880-3517
Is Sole Proprietor?:No
Enumeration Date:2005-09-06
Last Update Date:2011-09-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036-0595012085R0202X
IL036.0595012085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036059501Medicaid
IL036059501Medicaid