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NPI Code Detail

MEDICARE: DR. SONIA KWAPISINSKI D.C.

MEDICARE: DR. SONIA KWAPISINSKI D.C.
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
1111N00000XChiropractorIL

General Provider Information

NPI Number : 1932214665
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SONIA KWAPISINSKI D.C.
Provider Business Mailing Address
First Line : 1828 HARRISON AVE
Second Line :
City : MUNDELEIN
State : IL
Zip : 60060-1062
Country : US
Telephone Number : 847-566-2156
Fax Number :
Provider Business Practice Location Address
First Line : 2900 N US HIGHWAY 12
Second Line : SUITE J
City : SPRING GROVE
State : IL
Zip : 60081-8322
Country : US
Telephone Number : 815-675-0699
Fax Number : 815-675-0689
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2006
Last Update Date : 07/08/2007

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