Healthcare Provider Details

I. General information

NPI: 1699606111
Provider Name (Legal Business Name): NICOLAS DANIEL ORSZULAK DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2011 YORK RD
OAK BROOK IL
60523-1992
US

IV. Provider business mailing address

2011 YORK RD
OAK BROOK IL
60523-1992
US

V. Phone/Fax

Practice location:
  • Phone: 877-632-6673
  • Fax:
Mailing address:
  • Phone: 815-557-2835
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: