DR. WALDEMAR MYSIAK M.D. NPI 1972567717

NPI Information

DR. Waldemar Mysiak, M.D. is a family medicine in Libertyville, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Waldemar Mysiak, M.D. NPI is 1972567717. 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:

755 S MILWAUKEE AVE
SUITE 261
LIBERTYVILLE, IL
ZIP 60048-253
Phone: (847) 281-1100
Fax: (847) 281-1300

The NPI 1972567717 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 4/17/2006 and was last updated on 2/14/2017.

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:

Other Identifiers

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

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