Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 125.077389 | IL |
Y | 111NI0900X | Internist | 125.077389 | IL |
NPI | 1003492620 |
---|---|
Provider Name | Dr. Cathryn T Sawalski |
First Address | Maywood, IL 60153-3328 |
Second Address | Maywood, IL 60153-3328 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2021 |
Last Update Date | 11/05/2021 |