Basic Information
| Provider Information | |||||||||
| NPI: | 1649492737 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | JOHN C PRZYPYSZNY MD SC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 222 E DUNDEE RD | ||||||||
| Address2: | |||||||||
| City: | WHEELING | ||||||||
| State: | IL | ||||||||
| PostalCode: | 60090 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8475200235 | ||||||||
| FaxNumber: | 8475200390 | ||||||||
| Practice Location | |||||||||
| Address1: | 2222 W DIVISION ST | ||||||||
| Address2: | SUITE 225 JOHN C PRZYPYSZNY | ||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 60622 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7737250522 | ||||||||
| FaxNumber: | 7732520012 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/02/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | PRZYPYSZNY | ||||||||
| AuthorizedOfficialFirstName: | JOHN | ||||||||
| AuthorizedOfficialMiddleName: | C | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 7737250522 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.