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Primary Practice Address
2202 HARLEM ROAD
LOVES PARK, IL 61111-2754 US
PECOS Enrolled

Wieslaw J. Podlasek

Anesthesiologist


Wieslaw J. Podlasek

Overview

Wieslaw J. Podlasek is a Anesthesiologist in the LOVES PARK area and has over 41 years of experience. Wieslaw J. Podlasek primary office location is at 2202 HARLEM ROAD and new patients are welcome to contact this healthcare provider for an appointment. We do not know where he was educated but we know that he graduated in 1985

Wieslaw J. Podlasek is affiliated with one hospital in the LOVES PARK area, RUSH UNIVERSITY MEDICAL CENTER. The NPI number is 1013188598 and the information was updated approximately 15 years ago.

Wieslaw J. Podlasek is affiliated with one medical group in the LOVES PARK area, UNIVERSITY ANESTHESIOLOGISTS SC.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
2202 HARLEM ROAD
LOVES PARK, IL 61111-2754 US
Phone: (815)-877-4848
Fax:
Practice Mailing Information
2202 HARLEM ROAD
LOVES PARK, IL 61111-2754 US
Phone: (815)-877-4848
Fax: (815)-654-5342
License Number State
036-085145 IL
Type/Issuer IdentifierState
RAILROAD MEDICARE P00911925 IL
MEDICAID 036085145 IL
Taxonomy StatePrimary?
Anesthesiologist - Taxonomy Code 207L00000X ILY

PECOS Details:

Participates in PECOS: YES
PECOS Individual Enrollment ID: I20080422000329
PECOS Individual PAC ID: 2961580675
Eligible to order/refer Part B Clinical Laboratory and Imaging Yes
Eligible to order/refer Durable Medical Equipment (DME) Yes
Eligible to order/refer Home Health Agency (HHA) Yes
Eligible to order/refer Power Mobility Devices (PMD) Yes