MEDICARE: PIOTR TUSZYNSKI PT

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	225100000X	Physical Therapist	070-007419	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992854228
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PIOTR TUSZYNSKI PT

Provider Business Mailing Address
First Line	:	1227 LAKEWOOD CIR
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60540-0977
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2272 95TH ST STE 115
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60564-8944
Country	:	US
Telephone Number	:	630-452-9971
Fax Number	:

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

Provider Enumeration Date	:	01/09/2007
Last Update Date	:	06/08/2022

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