MEDICARE: DR. JAROSLAW JAN OSMIALOWSKI 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	181000372	IL

General Provider Information

NPI Number	:	1881969806
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAROSLAW JAN OSMIALOWSKI D.N

Provider Business Mailing Address
First Line	:	7000 W NORTH AVE
Second Line	:	UNIT 2E
City	:	CHICAGO
State	:	IL
Zip	:	60707-4334
Country	:	US
Telephone Number	:	773-800-1629
Fax Number	:	773-340-1629

Provider Business Practice Location Address
First Line	:	7000 W NORTH AVE
Second Line	:	UNIT 2E
City	:	CHICAGO
State	:	IL
Zip	:	60707-4334
Country	:	US
Telephone Number	:	773-800-1629
Fax Number	:	773-340-1629

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

Provider Enumeration Date	:	03/09/2012
Last Update Date	:	05/06/2015

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