Provider Demographics
NPI:1669817367
Name:BADOWSKI, DRUZAK & JENSEN MD'S 2 LLC
Entity Type:Organization
Organization Name:BADOWSKI, DRUZAK & JENSEN MD'S 2 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LAB BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LATOYSHA
Authorized Official - Middle Name:SHANTA
Authorized Official - Last Name:DANGLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-943-0205
Mailing Address - Street 1:5909 PEACHTREE DUNWOODY RD NE STE 900
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-5388
Mailing Address - Country:US
Mailing Address - Phone:404-943-0205
Mailing Address - Fax:404-943-0209
Practice Address - Street 1:10 MARTIN AVE STE 100
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-6564
Practice Address - Country:US
Practice Address - Phone:630-369-7700
Practice Address - Fax:630-369-7705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-08
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty