Healthcare Provider Details

I. General information

NPI: 1497814750
Provider Name (Legal Business Name): VIOLETTA RYCHCIK PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5150 CAPITOL DR
WHEELING IL
60090-7900
US

IV. Provider business mailing address

1344 N GENEVA DR 3A
PALATINE IL
60074-3298
US

V. Phone/Fax

Practice location:
  • Phone: 847-215-9977
  • Fax:
Mailing address:
  • Phone: 708-655-8423
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: