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NPI Code Detail

MEDICARE: KATHERINE M KRZOSKA

MEDICARE: KATHERINE M KRZOSKA
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 Therapist070028402IL

General Provider Information

NPI Number : 1104650118
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE M KRZOSKA
Provider Business Mailing Address
First Line : 2122 YORK RD STE 300
Second Line :
City : OAK BROOK
State : IL
Zip : 60523-1925
Country : US
Telephone Number : 630-575-1980
Fax Number :
Provider Business Practice Location Address
First Line : 3922 N SHERIDAN RD
Second Line :
City : CHICAGO
State : IL
Zip : 60613-2926
Country : US
Telephone Number : 773-327-0040
Fax Number : 773-327-0050
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2024
Last Update Date : 08/30/2024

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Directions to “ KATHERINE M KRZOSKA ” Practice Location

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