Dr. Wieslaw J. Podlasek
Anesthesiologist
2202 Harlem Road
Loves Park
, Illinois 61111-2754
Dr. Wieslaw J. Podlasek
Anesthesiologist
2202 Harlem Road
Loves Park
, Illinois 61111-2754
(815) 654-5342
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About
Features
Specialties
- Anesthesiologist
Languages spoken
- English
Location
First Address
- Dr. Wieslaw J. Podlasek
- 2202 Harlem Road
- Loves Park, IL
- Zip : 61111-2754
- Fax : (815) 654-5342
- Phone : (815) 877-4848
Second Address
- Dr. Wieslaw J. Podlasek
- 2202 Harlem Road
- Loves Park, IL
- Zip : 61111-2754
- Fax : (815) 654-5342
- Phone : (815) 877-4848
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207L00000X | Anesthesiologist | 036-085145 | IL |
National Provider Identifier
| NPI | 1013188598 |
|---|---|
| Provider Name | Dr. Wieslaw J. Podlasek |
| First Address | Loves Park, IL 61111-2754 |
| Second Address | Loves Park, IL 61111-2754 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/03/2008 |
| Last Update Date | 14/09/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036085145 | (05) | IL |
| G20944 | (02) | IL |
| P00911925 | RAILROAD MEDICARE (01) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.