Provider Demographics
NPI:1932191905
Name:ANDRZEJ SOWINSKI MEDICAL OFFICES SC
Entity Type:Organization
Organization Name:ANDRZEJ SOWINSKI MEDICAL OFFICES SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ANDRZEJ
Authorized Official - Middle Name:A
Authorized Official - Last Name:SOWINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-923-0011
Mailing Address - Street 1:PO BOX 95509
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60195-0509
Mailing Address - Country:US
Mailing Address - Phone:847-923-0011
Mailing Address - Fax:847-923-0713
Practice Address - Street 1:1025 W WISE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60193-3746
Practice Address - Country:US
Practice Address - Phone:847-923-0011
Practice Address - Fax:847-923-0713
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-16
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL212423Medicare PIN