Provider Demographics
NPI:1801983200
Name:JAN SZATKOWSKI MD AND BARBARA ZABSKA MD SC
Entity type:Organization
Organization Name:JAN SZATKOWSKI MD AND BARBARA ZABSKA MD SC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZABSKA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-466-0585
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
796280Medicare ID - Type Unspecified