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NPI Code Detail

MEDICARE: DR. DARIUSZ BRZEZINSKI D.C.

MEDICARE: DR. DARIUSZ BRZEZINSKI D.C.
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
1111N00000XChiropractor038.012901IL

General Provider Information

NPI Number : 1518314996
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DARIUSZ BRZEZINSKI D.C.
Provider Business Mailing Address
First Line : 3400 W STONEGATE BLVD
Second Line : UNIT 302
City : ARLINGTON HTS
State : IL
Zip : 60005-1045
Country : US
Telephone Number : 773-852-2099
Fax Number :
Provider Business Practice Location Address
First Line : 3400 W STONEGATE BLVD
Second Line : UNIT 302
City : ARLINGTON HTS
State : IL
Zip : 60005-1045
Country : US
Telephone Number : 773-852-2099
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2016
Last Update Date : 05/16/2016

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