Healthcare Provider Details

I. General information

NPI: 1710899836
Provider Name (Legal Business Name): MICHAEL SZYDLOWSKI II MDIV, BCC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1786 MOON LAKE BLVD STE 214
HOFFMAN ESTATES IL
60169-1067
US

IV. Provider business mailing address

1786 MOON LAKE BLVD STE 214
HOFFMAN ESTATES IL
60169-1067
US

V. Phone/Fax

Practice location:
  • Phone: 847-230-3983
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: