Peter Andruszkiewicz
Family Medicine in Maywood, IL. Individual provider (NPI-1).
NPI number1043839681
StatusActive
Last updated in NPPESOct 11, 2023
Details
- NPI
- 1043839681
- Entity type
- Individual (NPI-1)
- Name
- Peter Andruszkiewicz
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 14, 2020
- Certification date
- Oct 11, 2023
- Last updated
- Oct 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 036165527 | IL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
2160 S 1st AveMaywood, IL 60153-3328
Phone 708-216-9000
Mailing address
7447 W Talcott Ave Ste 182Chicago, IL 60631-3712
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