Provider Demographics
NPI:1841516234
Name:PATRO, MALGORZATA (MD)
Entity type:Individual
Prefix:
First Name:MALGORZATA
Middle Name:
Last Name:PATRO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7447 W TALCOTT AVE
Mailing Address - Street 2:STE 463
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60631-3715
Mailing Address - Country:US
Mailing Address - Phone:773-763-8400
Mailing Address - Fax:773-774-8085
Practice Address - Street 1:7447 W TALCOTT AVE STE 425
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60631-3704
Practice Address - Country:US
Practice Address - Phone:773-763-8400
Practice Address - Fax:773-774-8085
Is Sole Proprietor?:No
Enumeration Date:2010-04-12
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.137409207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology