MEDICARE: IZABELA GLUSZAK THERAPY PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1013803634
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IZABELA GLUSZAK THERAPY PLLC

Provider Business Mailing Address
First Line	:	2172 N STAVE ST APT 3
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-2390
Country	:	US
Telephone Number	:	773-956-0151
Fax Number	:

Provider Business Practice Location Address
First Line	:	2172 N STAVE ST APT 3
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-2390
Country	:	US
Telephone Number	:	773-956-0151
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. IZABELA GLUSZAK
Credential	:	LCSW
Telephone Number	:	773-956-0151

Provider Enumeration Date	:	06/18/2025
Last Update Date	:	06/18/2025

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