Provider Demographics
NPI:1447453717
Name:OAK-MILL PEDIATRICS S.C
Entity type:Organization
Organization Name:OAK-MILL PEDIATRICS S.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ELZBIETA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOJEWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-581-1030
Mailing Address - Street 1:7900 N MILWAUKEE AVE
Mailing Address - Street 2:STE 2-26
Mailing Address - City:NILES
Mailing Address - State:IL
Mailing Address - Zip Code:60714-3159
Mailing Address - Country:US
Mailing Address - Phone:847-581-1030
Mailing Address - Fax:847-581-1441
Practice Address - Street 1:7900 N MILWAUKEE AVE
Practice Address - Street 2:STE 2-26
Practice Address - City:NILES
Practice Address - State:IL
Practice Address - Zip Code:60714-3159
Practice Address - Country:US
Practice Address - Phone:847-581-1030
Practice Address - Fax:847-581-1441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-06
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01636079OtherBLUE CROSS BLUE SHIELD