Provider Demographics
NPI:1518035815
Name:PRESSEN, MALGORZATA (MD)
Entity Type:Individual
Prefix:DR
First Name:MALGORZATA
Middle Name:
Last Name:PRESSEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MALGORZATA
Other - Middle Name:URSZULA
Other - Last Name:BARAN-PRESSEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1405 N ALTHEA LN
Mailing Address - Street 2:
Mailing Address - City:MOUNT PROSPECT
Mailing Address - State:IL
Mailing Address - Zip Code:60056-1745
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6416 W BELMONT AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60634-3921
Practice Address - Country:US
Practice Address - Phone:773-725-5400
Practice Address - Fax:773-725-4707
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-102602208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL363350399OtherTAX ID NUMBER