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14D1054877 CLIA NUMBER - BOZENA SCIGACZ MEDICAL OFFICE S C

Laboratory Demographics

CLIA Number: 14D1054877

Facility Name: BOZENA SCIGACZ MEDICAL OFFICE S C

Facility Address:
28 W LAKE STREET, SUITE 2
ADDISON, IL
ZIP 60101
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Facility Phone Number: 630 458-0688

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1053365577

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 14D1054877
LAB Type Physician Office
Facility Name BOZENA SCIGACZ MEDICAL OFFICE S C
Street 28 W LAKE STREET, SUITE 2
City ADDISON
State IL
ZIP 60101
Phone 630 458-0688
CertificateType 3
CertificateEffectiveDate 6/2/2022
CertificateExpirationDate 6/1/2024
FacilityType PPMP

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This page was last updated on: 4/23/2024