Michal M Wyczesany, DPT
Physical Therapist in Chicago, IL. Individual provider (NPI-1).
NPI number1689239642
StatusActive
Last updated in NPPESMay 6, 2019
Details
- NPI
- 1689239642
- Entity type
- Individual (NPI-1)
- Name
- Michal M Wyczesany
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 6, 2019
- Last updated
- May 6, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | IL | Yes |
Practice location
5240 N Pulaski Rd Ste NChicago, IL 60630-1761
Phone 773-267-6922 · Fax 773-267-6925
Mailing address
600 Oakmont Ln Ste 600cWestmont, IL 60559-5548
Phone 630-575-6200
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