Teresa A. Wanczyk

NPI 1275837734 - Neuromusculoskeletal Medicine & OMM - 204D00000X

NPI Details
NPI 1275837734
Enumeration Date 12/27/2010
Last Updated 01/05/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name TERESA A TERESA
Position PHYSICIAN
Phone (773) 271-2900
Fax (773) 267-6113
Practice Location
3420 W PETERSON AVE
SUITE 6
CHICAGO IL, 60659-3418, US
Phone (773) 271-2900
Fax (773) 267-6113
Business Location
3420 W PETERSON AVE
SUITE 6
CHICAGO IL, 60659-3418, US
Phone (773) 271-2900
Fax (773) 267-6113
Toxanomy
Taxonomy Code 204D00000X
License State Illinois
License Number 036065883
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According to our database, Teresa A. Wanczyk NPI is 1275837734, taxonomy code is 204D00000X and license number is 036065883, license state is located at Illinois. Teresa A. Wanczyk physically located at 3420 W Peterson Ave, Chicago IL, 60659-3418. NPI Number 1033115704 has the healthcare provider type.

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1275837734 NPI number is provided on an as is basis without warranty of any kind. 1275837734 is maintained by the National Plan & Provider Enumeration System. The contents of Teresa A. Wanczyk are for informational purposes only.