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NPI Code Detail

MEDICARE: RYDWELSKI FAMILY LLC

MEDICARE: RYDWELSKI FAMILY LLC
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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1639966674
Entity Type Code : Organization
Provider Name (Legal Business Name) : RYDWELSKI FAMILY LLC
Provider Business Mailing Address
First Line : 2142 HULL CT
Second Line :
City : NAPERVILLE
State : IL
Zip : 60565-2628
Country : US
Telephone Number : 630-926-4056
Fax Number :
Provider Business Practice Location Address
First Line : 640 S WASHINGTON ST STE 212
Second Line :
City : NAPERVILLE
State : IL
Zip : 60540-6789
Country : US
Telephone Number : 630-281-7270
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JENNIFER RYDWELSKI
Credential :
Telephone Number : 630-926-4056
Provider Enumeration Date : 04/23/2025
Last Update Date : 04/23/2025

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Directions to “RYDWELSKI FAMILY LLC ” Practice Location

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