LUKASZ J SIDOROWICZ

BERWYN, IL
NPI1124236971
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant Surgical
(Licence: IL  238.000043)
Enumeration Date2007-05-17
Last Update Date2009-12-08
Business Address
LUKASZ J SIDOROWICZ
3249 OAK PARK AVE
BERWYN, IL 60402-3429
Phone number: 773-502-4221
Mailing Address
LUKASZ J SIDOROWICZ
PO BOX 56341
CHICAGO, IL 60656-0341
Phone number: 708-867-4949