Provider Demographics
NPI:1740380930
Name:ZABSKA-SZATKOWSKI, BARBARA MARGARET (MD)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:MARGARET
Last Name:ZABSKA-SZATKOWSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:M
Other - Last Name:ZABASKA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:180 NUTTALL RD
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:IL
Mailing Address - Zip Code:60546-1880
Mailing Address - Country:US
Mailing Address - Phone:708-466-0585
Mailing Address - Fax:773-586-0033
Practice Address - Street 1:180 NUTTALL RD
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:IL
Practice Address - Zip Code:60546-1880
Practice Address - Country:US
Practice Address - Phone:708-466-0585
Practice Address - Fax:773-586-0033
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036044057207R00000X
IL035044057207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036044057Medicaid
IL0021604664OtherBLUE CROSS BLUE SHIELD
IL0021604664OtherBLUE CROSS BLUE SHIELD
C41977Medicare UPIN
110005399Medicare ID - Type UnspecifiedRAILROAD