Mary Jo Liszek is a Pediatrics in Maywood, Illinois. Mary Jo Liszek practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Mary Jo Liszek is 1194790204. The last update date is 2009-08-12.
Mary Jo Liszek's current location address is 2160 S 1st Ave, Maywood, Illinois. You can contact this provider via phone number 7082168563 and fax number 7082160346. The mailing address for Mary Jo Liszek is 2160 S 1st Ave, Maywood, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Jo Liszek |
|---|---|
| Address | 2160 S 1st Ave, Maywood, Illinois |
| Phone Number | 7082168563 |
| Fax Number | 7082160346 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1194790204 |
|---|---|
| Provider Enumeration Date | 2006-02-22 |
| Last Updated Date | 2009-08-12 |
Provider Mailing Address Detail
| Address | 2160 S 1st Ave |
|---|---|
| City | Maywood |
| State | Illinois (IL) |
| Post Code | 60153 |
| Phone Number | 7082168563 |
| Fax Number | 7082160346 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 36079155 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36079155 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mary Jo Liszek by the Centers for Medicare & Medicaid Services?
The Mary Jo Liszek has been issued the NPI (National Provider Identifier) 1194790204 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Mary Jo Liszek's physical address?
The Mary Jo Liszek is physically located at 2160 S 1St Ave, in the city of Maywood, IL, with the postal code 60153.
What is Mary Jo Liszek's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mary Jo Liszek is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1194790204 to Mary Jo Liszek?
The Centers for Medicare & Medicaid Services assigned the 1194790204 to Mary Jo Liszek on 2006-02-22.
As of what date were the details pertaining to Mary Jo Liszek last refreshed?
The information related to the Mary Jo Liszek, including its address, specialty, and other relevant details, was last updated on 2009-08-12.