Provider Demographics
NPI:1790876829
Name:PRZYPYSZNY, JOHN C (MD)
Entity Type:Individual
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First Name:JOHN
Middle Name:C
Last Name:PRZYPYSZNY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:222 E DUNDEE RD
Mailing Address - Street 2:JOHN C PRZYPYSZNY MD
Mailing Address - City:WHEELING
Mailing Address - State:IL
Mailing Address - Zip Code:60090
Mailing Address - Country:US
Mailing Address - Phone:847-520-0235
Mailing Address - Fax:847-520-0390
Practice Address - Street 1:2222 W DIVISION ST
Practice Address - Street 2:STE 225
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60622
Practice Address - Country:US
Practice Address - Phone:773-725-0522
Practice Address - Fax:773-252-0012
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2008-01-29
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Provider Licenses
StateLicense IDTaxonomies
IL036032863208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036032863Medicaid
IL440060Medicare PIN
IL036032863Medicaid