MEDICARE: DR. PAUL RZESZUTEK 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		IL

General Provider Information

NPI Number	:	1932329786
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL RZESZUTEK D.N.

Provider Business Mailing Address
First Line	:	240 STERLING CT
Second Line	:
City	:	BLOOMINGDALE
State	:	IL
Zip	:	60108-1961
Country	:	US
Telephone Number	:	773-456-3189
Fax Number	:

Provider Business Practice Location Address
First Line	:	805 N MILWAUKEE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-4104
Country	:	US
Telephone Number	:	312-226-3800
Fax Number	:

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

Provider Enumeration Date	:	04/26/2007
Last Update Date	:	07/08/2007

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