Provider Demographics
NPI:1851416291
Name:SZYMANSKA, ZOFIA (MD FACOG)
Entity Type:Individual
Prefix:DR
First Name:ZOFIA
Middle Name:
Last Name:SZYMANSKA
Suffix:
Gender:F
Credentials:MD FACOG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 BIESTERFIELD ROAD
Mailing Address - Street 2:#4006 BROCK MEDICAL BUILDING
Mailing Address - City:ELK GROVE VILLAGE
Mailing Address - State:IL
Mailing Address - Zip Code:60007-3383
Mailing Address - Country:US
Mailing Address - Phone:847-437-4418
Mailing Address - Fax:847-437-9431
Practice Address - Street 1:800 BIESTERFIELD ROAD
Practice Address - Street 2:#4006 BROCK MEDICAL BUILDING
Practice Address - City:ELK GROVE VILLAGE
Practice Address - State:IL
Practice Address - Zip Code:60007-3383
Practice Address - Country:US
Practice Address - Phone:847-437-4418
Practice Address - Fax:847-437-9431
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
C42254Medicare UPIN
487940Medicare ID - Type Unspecified