Provider Demographics
NPI:1770148967
Name:ZELECHOWSKI, KAMILA MAGDA (PA)
Entity type:Individual
Prefix:
First Name:KAMILA
Middle Name:MAGDA
Last Name:ZELECHOWSKI
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10700 CITY CENTER BLVD APT 5387
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33025-4440
Mailing Address - Country:US
Mailing Address - Phone:773-882-3377
Mailing Address - Fax:
Practice Address - Street 1:7900 DIVISION ST
Practice Address - Street 2:
Practice Address - City:RIVER FOREST
Practice Address - State:IL
Practice Address - Zip Code:60305-1066
Practice Address - Country:US
Practice Address - Phone:708-524-6377
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-03
Last Update Date:2019-05-09
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant