person
Wieslaw Robert Dybowski
Surgical Physician Assistant in Berwyn, Illinois
NPI 1013124403

Wieslaw Robert Dybowski is a Surgical Physician Assistant based in Chicago, IL and is specialized in Surgical. Wieslaw Robert Dybowski practices in Berwyn, IL. The NPI Number for Wieslaw Robert Dybowski is 1013124403 and holds a License No. 238000076 (Illinois).

The current practice location address for Wieslaw Robert Dybowski is 3249 Oak Park Ave, Berwyn, IL and can be reached out via phone at 773-502-4221 and via fax at 773-404-2086.

Location: 3249 Oak Park Ave, Berwyn, IL, 60656-0341
person
Provider Profile Details
NPI Number
1013124403
Provider Name
Wieslaw Robert Dybowski
Credential
Provider Entity Type
Individual
Gender
Male
Address
3249 Oak Park Ave, Berwyn, IL, 60656-0341
Phone Number
773-502-4221
Fax Number
773-404-2086
Provider Enumeration Date
05/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01637103 01 IL BLUE CROSS BLUE SHIELD OF IL
institution
Provider Business Practice Location Address Details
Address
3249 Oak Park Ave
City
State
Zip
60402-3429
Phone Number
773-502-4221
Fax Number
773-404-2086
person
Provider Business Mailing Address Details
Address
3249 Oak Park Ave
City
State
Zip
60402-3429
Phone Number
773-502-4221
Fax Number
773-404-2086
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
238000076 (Illinois)
Definition
Definition to come...
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