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NPI Code Detail

MEDICARE: ELWIRA HRYSZKO

MEDICARE: ELWIRA HRYSZKO
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
1222Q00000XDevelopmental Therapist

General Provider Information

NPI Number : 1902623507
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELWIRA HRYSZKO
Provider Business Mailing Address
First Line : 162 SIERRA PASS DR
Second Line :
City : SCHAUMBURG
State : IL
Zip : 60194-4977
Country : US
Telephone Number : 773-964-3432
Fax Number :
Provider Business Practice Location Address
First Line : 4515 N MILWAUKEE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60630-3711
Country : US
Telephone Number : 312-671-4111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2024
Last Update Date : 09/24/2024

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Directions to “ ELWIRA HRYSZKO ” Practice Location

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