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NPI Code Detail

MEDICARE: EMILY GRZEGORZEWSKI DPT

MEDICARE: EMILY GRZEGORZEWSKI DPT
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
1225100000XPhysical Therapist070-026383IL

General Provider Information

NPI Number : 1699434134
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY GRZEGORZEWSKI DPT
Provider Business Mailing Address
First Line : 2122 YORK RD STE 300
Second Line :
City : OAK BROOK
State : IL
Zip : 60523-1925
Country : US
Telephone Number : 630-575-1980
Fax Number :
Provider Business Practice Location Address
First Line : 557 S STATE ST
Second Line :
City : CHICAGO
State : IL
Zip : 60605-1616
Country : US
Telephone Number : 312-361-0261
Fax Number : 312-361-0262
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2021
Last Update Date : 12/13/2021

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