JAN WIACEK

CHICAGO, IL
NPI1548263130
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036088918)
Enumeration Date2005-05-27
Last Update Date2012-10-23
Business Address
JAN WIACEK MD
3204 N OAK PARK AVE
CHICAGO, IL 60634-4640
Phone number: 773-736-3131
Mailing Address
JAN WIACEK MD
3204 N OAK PARK AVE
CHICAGO, IL 60634-4640
Phone number: 773-736-3131
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