Provider Demographics
NPI:1720259617
Name:GMURCZYK, ALEKSANDRA (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEKSANDRA
Middle Name:
Last Name:GMURCZYK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 N FAIRBANKS CT
Mailing Address - Street 2:4-500
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-3013
Mailing Address - Country:US
Mailing Address - Phone:312-695-4945
Mailing Address - Fax:312-926-4885
Practice Address - Street 1:710 N FAIRBANKS CT
Practice Address - Street 2:4-500
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-3013
Practice Address - Country:US
Practice Address - Phone:312-695-4945
Practice Address - Fax:312-926-4885
Is Sole Proprietor?:No
Enumeration Date:2008-03-18
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036115632207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology