MEDICARE: DANIELA V KRAWCZYK PT

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

General Provider Information

NPI Number	:	1285378810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELA V KRAWCZYK PT

Provider Business Mailing Address
First Line	:	2807 CENTRE CIR
Second Line	:
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60515-1030
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1301 LEE ST
Second Line	:
City	:	DES PLAINES
State	:	IL
Zip	:	60018-1514
Country	:	US
Telephone Number	:	847-635-4000
Fax Number	:

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

Provider Enumeration Date	:	04/20/2022
Last Update Date	:	04/20/2022

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Directions to “ DANIELA V KRAWCZYK PT” Practice Location

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