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Rafal Leszek Sosnowski

Radiology

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as RAFAL SOSNOWSKI.

Based on the most recent information from CMS, provider Rafal Leszek Sosnowski is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 7 days ago.

Profile Details

Provider ID
1699941039
Provider Type
Individual
Full Name
Sosnowski, Rafal Leszek
Title
Dr.
Credential
D.O.

Gender
Male
Sole Proprietor
No
Enumeration Date
5/6/2008
Last Updated
4/24/2023

Contact Information

Practice Location

2160 S 1st Ave, Maywood, IL 60153-3328

(708) 216-9000

Unlisted Fax

Mailing Location

39000 Bob Hope Drive, Rancho Mirage, CA 92270-3221

(760) 674-3613

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License 036-118062 Illinois
Code 2085R0202X	Description Radiology Allopathic & Osteopathic Physicians	License 90367 Georgia
Code 2085R0202X	Description Radiology Allopathic & Osteopathic Physicians	License 20A10475 California

Provider Identifiers

ID	Description	Issuer
ID 1699941039	Description Medicaid	Issuer Unlisted California
ID 0020A 104750	Description Other	Issuer BS California

Rafal Leszek Sosnowski

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Robinson, Tiffany Louwil

Worrell, Stewart S

Charania, Munira

Zahir, Haziq

Odegaard, Rita Vida

Lowery, Emily Diane

Kuei, Jeffrey

Zaleski, George X

Yacoub, Joseph

Savir-Baruch, Bital