Provider Demographics
NPI:1801958947
Name:WOJNARSKA, MARIA A (MD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:A
Last Name:WOJNARSKA
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 1:5140 N. CALIFORNIA AVE.
Mailing Address - Street 2:SUITE 575
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60625
Mailing Address - Country:US
Mailing Address - Phone:773-878-6200
Mailing Address - Fax:773-878-4513
Practice Address - Street 1:5140 N CALIFORNIA AVE
Practice Address - Street 2:SUITE 575
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60625
Practice Address - Country:US
Practice Address - Phone:773-878-6200
Practice Address - Fax:773-878-4513
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036075896207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036075896Medicaid
IL3160297170OtherBLUE CROSS OF ILLINOIS
IL036075896Medicaid
IL3160297170OtherBLUE CROSS OF ILLINOIS
IL0160170001Medicare NSC