Provider Demographics
NPI:1174818736
Name:FILIPEK, ELIZABETH ANNE SZALKO (PA-C)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ANNE SZALKO
Last Name:FILIPEK
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 YORK ST
Mailing Address - Street 2:
Mailing Address - City:MANITOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:54220-4630
Mailing Address - Country:US
Mailing Address - Phone:920-663-9008
Mailing Address - Fax:920-684-1439
Practice Address - Street 1:1240 N MILWAUKEE AVE STE A
Practice Address - Street 2:
Practice Address - City:LIBERTYVILLE
Practice Address - State:IL
Practice Address - Zip Code:60048-1307
Practice Address - Country:US
Practice Address - Phone:847-367-5575
Practice Address - Fax:847-367-5579
Is Sole Proprietor?:No
Enumeration Date:2011-06-12
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL085.003928363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant