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General NPI Number Information
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NPI Number | 1295645497
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Entity Type | Individual
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Provider Name | MAGDALENA LYSZCZARCZYK
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Gender | Female
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Dates
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Enumeration Date | 09/09/2026
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Last Update Date | 09/09/2026
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Provider Practice Location Address
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Address Line | 605 MADISON ST
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City | OAK PARK
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State | IL
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Zip | 60302-4408
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Country | US
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Telephone | 708-763-8597
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Fax |
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Provider Business Mailing Address
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Address Line | 5147 N EAST RIVER RD UNIT 145B
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City | CHICAGO
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State | IL
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Zip | 60656-2669
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Country | US
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Telephone | 708-763-8597
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Fax | 708-769-0978
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 070040810
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License Number State | IL
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