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NPI Code Detail

MEDICARE: ANNA MARIA RADZIEWSKA

MEDICARE: ANNA MARIA RADZIEWSKA
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
1225100000XPhysical Therapist070.027401IL

General Provider Information

NPI Number : 1063281277
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA MARIA RADZIEWSKA
Provider Business Mailing Address
First Line : 8219 SMITH LN
Second Line :
City : RIVER GROVE
State : IL
Zip : 60171-3351
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100 197TH PL
Second Line :
City : CHICAGO HEIGHTS
State : IL
Zip : 60411-7539
Country : US
Telephone Number : 708-755-3020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2023
Last Update Date : 12/28/2023

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Directions to “ ANNA MARIA RADZIEWSKA ” Practice Location

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