Individual provider · Type 1 NPI

Lukasz J. Sidorowicz

Surgical Physician Assistant · Berwyn, IL

NPI number 1124236971 Active

Practice location

3249 Oak Park Ave
Berwyn, IL 60402-3429

Fax (773) 404-2086

Mailing address

PO Box 56341
Chicago, IL 60656-0341

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X238.000043 (IL)

Surgical Physician Assistant: Definition to come...

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About NPI 1124236971

Lukasz J. Sidorowicz's National Provider Identifier is 1124236971, issued on May 17, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Berwyn, IL. The record was last updated on Dec 8, 2009.