Provider Demographics
NPI:1972586808
Name:SOBCZAK, IWONA U (MD)
Entity type:Individual
Prefix:MRS
First Name:IWONA
Middle Name:U
Last Name:SOBCZAK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:IWONA
Other - Middle Name:U
Other - Last Name:STEINBRUEGGE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2840 N LINCOLN AVE
Mailing Address - Street 2:APT A
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-4298
Mailing Address - Country:US
Mailing Address - Phone:773-957-0304
Mailing Address - Fax:773-957-0305
Practice Address - Street 1:7447 W TALCOTT AVENUE
Practice Address - Street 2:SUITE #367
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60631
Practice Address - Country:US
Practice Address - Phone:773-957-0304
Practice Address - Fax:773-957-0305
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-23
Last Update Date:2018-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0360955132084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK08628Medicare ID - Type Unspecified
G77210Medicare UPIN