Basic Information
| Provider Information | |||||||||
| NPI: | 1295091403 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MACHNICA | ||||||||
| FirstName: | KAROLINA | ||||||||
| MiddleName: | WOLOSZYN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2151 WAUKEGAN RD STE 140 | ||||||||
| Address2: | |||||||||
| City: | BANNOCKBURN | ||||||||
| State: | IL | ||||||||
| PostalCode: | 600151868 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8476638540 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2151 WAUKEGAN RD STE 140 | ||||||||
| Address2: | |||||||||
| City: | BANNOCKBURN | ||||||||
| State: | IL | ||||||||
| PostalCode: | 600151868 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8474441830 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/02/2012 | ||||||||
| LastUpdateDate: | 04/07/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 04/07/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RE0101X | 036143084 | IL | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Endocrinology, Diabetes & Metabolism |
No ID Information.