MEDICARE: KATARZYNA KRUPA

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	225100000X	Physical Therapist	070.029757	IL

General Provider Information

NPI Number	:	1467307801
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATARZYNA KRUPA

Provider Business Mailing Address
First Line	:	1004 W MONROE ST APT 2
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60607-3389
Country	:	US
Telephone Number	:	708-543-0779
Fax Number	:

Provider Business Practice Location Address
First Line	:	2216 W NORTH AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-6494
Country	:	US
Telephone Number	:	312-586-1184
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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