WIESLAW ROBERT DYBOWSKI NPI 1013124403

NPI Information

NPI: 1013124403
Provider Name: WIESLAW ROBERT DYBOWSKI
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
3249 OAK PARK AVE
BERWYN, IL
ZIP 60402
Phone: (773) 502-4221
Get Directions

Wieslaw Robert Dybowski is a surgical physician assistant in Berwyn, IL. Wieslaw Robert Dybowski NPI is 1013124403. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3249 OAK PARK AVE
BERWYN, IL
ZIP 60402-429
Phone: (773) 502-4221
Fax: (773) 404-2086

The enumeration date for this NPI number is 5/17/2007 and was last updated on 12/8/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	238000076	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01637103	OTHER	ILLINOIS	BLUE CROSS BLUE SHIELD OF IL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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