Provider Demographics
NPI:1902786239
Name:DR. PEACHES PLLC
Entity type:Organization
Organization Name:DR. PEACHES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEKSANDER
Authorized Official - Middle Name:WOJTEK
Authorized Official - Last Name:PECHEREK
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:779-707-4462
Mailing Address - Street 1:926 MAPLE AVE APT 405
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-7405
Mailing Address - Country:US
Mailing Address - Phone:630-450-2874
Mailing Address - Fax:
Practice Address - Street 1:6438 N MILWAUKEE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60631-2046
Practice Address - Country:US
Practice Address - Phone:779-946-2225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-05
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty