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NPI Code Detail

MEDICARE: HALEIGH CZARNECKI

MEDICARE: HALEIGH CZARNECKI
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1538009543
Entity Type Code : Individual
Provider Name (Legal Business Name) : HALEIGH CZARNECKI
Provider Business Mailing Address
First Line : 17723 MAPLE HILL DR
Second Line :
City : NORTHVILLE
State : MI
Zip : 48168-3236
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3249 OAK PARK AVE
Second Line :
City : BERWYN
State : IL
Zip : 60402-3429
Country : US
Telephone Number : 708-783-3453
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2026
Last Update Date : 03/30/2026

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Directions to “ HALEIGH CZARNECKI ” Practice Location

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