MEDICARE: MICHAEL SZYBILSKI

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
1	225100000X	Physical Therapist	070.039711	IL

General Provider Information

NPI Number	:	1205302148
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL SZYBILSKI

Provider Business Mailing Address
First Line	:	524 W 5TH AVE
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60563-2901
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	524 W 5TH AVE
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60563-2901
Country	:	US
Telephone Number	:	815-954-2554
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2018
Last Update Date	:	02/18/2026

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