MEDICARE: DR. WALTER JOSEPH SZYMKIEWICZ D.N.

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	172P00000X	Naprapath	181.000349	IL

General Provider Information

NPI Number	:	1417116153
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WALTER JOSEPH SZYMKIEWICZ D.N.

Provider Business Mailing Address
First Line	:	5133 S NATOMA AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60638-1219
Country	:	US
Telephone Number	:	773-719-7103
Fax Number	:

Provider Business Practice Location Address
First Line	:	5133 S NATOMA AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60638-1219
Country	:	US
Telephone Number	:	773-719-7103
Fax Number	:

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

Provider Enumeration Date	:	06/06/2008
Last Update Date	:	06/06/2008

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