Individual ProviderDorota StobierskaInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1740 W Taylor St, Chicago, IL 60612(866) 600-2273(646) 410-5364PECOS EnrollmentBased on the most recent information from CMS, provider Dorota Stobierska is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1104323039Provider TypeIndividualFull NameStobierska, DorotaCredentialMDGenderFemaleSole ProprietorNoEnumeration Date4/8/2018Last Updated12/14/2023Contact InformationPractice LocationPractice Address1740 W Taylor St, Chicago, IL 60612Phone(866) 600-2273FaxUnlisted FaxMailing LocationMailing Address2403 41st Ave Apt 16, Long Island City, NY 11101-3915Phone(646) 410-5364FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense125.073004Illinois