JAN WIACEK, MD

Family Medicine

Active Individual
NPI: 1548263130

Practice Address

3204 N OAK PARK AVE
Chicago, IL 60634

Phone: (773) 736-3131

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 036088918 (IL)

Frequently Asked Questions

NPI 1548263130 is the National Provider Identifier for JAN WIACEK, MD, a Family Medicine provider located in Chicago, IL. This NPI was enumerated on May 27, 2005.
JAN WIACEK, MD practices at 3204 N OAK PARK AVE, Chicago, IL 60634.

Quick Facts

NPI
1548263130
Type
Individual
Enumerated
May 27, 2005
Last Updated
Oct 23, 2012

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