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NPI Code Detail

MEDICARE: DR. ARTHUR JACEK KRZYZANOWSKI PSY.D.

MEDICARE: DR. ARTHUR JACEK KRZYZANOWSKI PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist071.006531IL

General Provider Information

NPI Number : 1043442643
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ARTHUR JACEK KRZYZANOWSKI PSY.D.
Provider Business Mailing Address
First Line : 4101 N RAVENSWOOD AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60613-2193
Country : US
Telephone Number : 773-572-5449
Fax Number : 773-537-3455
Provider Business Practice Location Address
First Line : 4101 N RAVENSWOOD AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60613-2193
Country : US
Telephone Number : 773-572-5449
Fax Number : 773-537-3455
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2009
Last Update Date : 08/14/2009

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