Healthcare Provider Details

I. General information

NPI: 1235009044
Provider Name (Legal Business Name): KRYSTIAN GARBICZ DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2025
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 SKOKIE BLVD
NORTHBROOK IL
60062-1613
US

IV. Provider business mailing address

861 NORTH AVE
DES PLAINES IL
60016-3217
US

V. Phone/Fax

Practice location:
  • Phone: 773-280-0567
  • Fax:
Mailing address:
  • Phone: 773-280-0567
  • Fax: 773-280-0566

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number038.014381
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: