Provider Demographics
NPI:1295756302
Name:PIEKOS, MAREK (MD)
Entity type:Individual
Prefix:DR
First Name:MAREK
Middle Name:
Last Name:PIEKOS
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 1:744 ESSINGTON RD
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435-4912
Mailing Address - Country:US
Mailing Address - Phone:815-730-1100
Mailing Address - Fax:815-730-1066
Practice Address - Street 1:744 ESSINGTON RD
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-4912
Practice Address - Country:US
Practice Address - Phone:815-730-1100
Practice Address - Fax:815-730-1066
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-22
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL2206563OtherBCBS
IL7441000OtherUHC
ILCIGNAOther8889097001
IL0600486OtherAETNA
IL0600486OtherAETNA
ILCIGNAOther8889097001
ILBP3596282OtherDEA