Provider Demographics
NPI:1801196613
Name:SZUFA, NORBERT LUKASZ (MD)
Entity Type:Individual
Prefix:DR
First Name:NORBERT
Middle Name:LUKASZ
Last Name:SZUFA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7338 W RASCHER AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60656-1809
Mailing Address - Country:US
Mailing Address - Phone:773-727-2315
Mailing Address - Fax:
Practice Address - Street 1:7338 W RASCHER AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60656-1809
Practice Address - Country:US
Practice Address - Phone:773-727-2315
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-26
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.125112207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine