Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0200X | Radiology | 038 003418 | IL |
Y | 213ER0200X | Radiology | 038 003418 | IL |
NPI | 1861437329 |
---|---|
Provider Name | Dr. Lawrence Charles Pyzik |
First Address | Palatine, IL 60067-5048 |
Second Address | Palatine, IL 60067-5048 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2006 |
Last Update Date | 27/01/2011 |